Individual provider · Type 1 NPI

Jesse Ray Roque

Peer Specialist · Los Angeles, CA

NPI number 1871335802 Active

Practice location

840 N Avenue 66
Los Angeles, CA 90042-1508

Call (626) 395-7100 Map

Other practice locations

  • 490 S Farrell Dr Ste C200, Palm Springs, CA 92262-7944 · (626) 395-7100
  • 840 N Avenue 66, Los Angeles, CA 90042-1508 · (626) 395-7100
  • 835 Highland Springs Ave Ste 210, Beaumont, CA 92223-5771 · (626) 395-7100

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Peer Specialist Primary 175T00000XMPSS-VDCAMQ (CA)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1871335802

Jesse Ray Roque's National Provider Identifier is 1871335802, issued on Jun 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 11, 2025.