MEDICARE: JANESSA MONTIJO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion
2	175T00000X	Peer Specialist		CA

General Provider Information

NPI Number	:	1548058423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANESSA MONTIJO

Provider Business Mailing Address
First Line	:	2829 WATT AVE STE 200
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-6245
Country	:	US
Telephone Number	:	916-418-0828
Fax Number	:	916-418-0838

Provider Business Practice Location Address
First Line	:	2829 WATT AVE STE 200
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-6245
Country	:	US
Telephone Number	:	916-418-0828
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	06/03/2026

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Directions to “ JANESSA MONTIJO ” Practice Location

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