Active NPI
Jason Nerio
- Marriage & Family Therapist
- Santa Clara, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123814
- Practice address
- 5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140 - Phone
- (323) 205-7088
- NPI assigned
- Dec 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 101524 | CA | |
| Marriage & Family Therapist | 106H00000X | 123814 | CA | Primary |
Addresses
Primary practice location
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Mailing address
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Other practice location 1
233 Baseline Rd
LA Verne, CA 91750
Phone (909) 833-2986
Other practice location 2
160 E Holt Ave
Pomona, CA 91767-5406
Phone (909) 620-2521
Other practice location 3
233 Baseline Rd
LA Verne, CA 91750-2353
Phone (909) 833-2986
Other practice location 4
233 Baseline Rd
LA Verne, CA 91750-2353
Phone (909) 833-2986
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101524 | CA | MD | Marriage & Family Therapist |
| 123814 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
Locations
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
Single Specialty
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Rosemead, CA
- NPI 1942787114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1013422732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY STE 320",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 GREAT AMERICA PKWY STE 320",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541140",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [
{
"address_1": "233 Baseline Rd",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "91750",
"country_code": "US",
"telephone_number": "909-833-2986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "160 E Holt Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917675406",
"country_code": "US",
"telephone_number": "909-620-2521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "233 Baseline Rd",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917502353",
"country_code": "US",
"telephone_number": "909-833-2986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "233 Baseline Rd",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917502353",
"country_code": "US",
"telephone_number": "909-833-2986",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NERIO",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-04",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "101524",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.