Jason Aaron Swain

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1517580823 Issued in CA

Practice address

1731 W Walnut Ave
Visalia, CA 93277-6232

Phone

(559) 732-4885

Fax

(559) 732-8289

NPI assigned

Jan 16, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Valley Recovery Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Visalia, CA
  • NPI 1780043455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1013778265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 W ROBINWOOD AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915522",
            "telephone_number": "559-839-7044",
            "fax_number": "559-732-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W WALNUT AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776232",
            "telephone_number": "559-732-4885",
            "fax_number": "559-732-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAIN",
        "first_name": "JASON",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1517580823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Steven Supancic Jr., D.D.S.,M.D.
• Bharath Surapaneni, M.D
• Jordan Sierra Surfus, NP
• Maya Sutama
• Joshua Sutarwan, MD
• Danielle Lynn Swanson, PHARMD
• Elizabeth Emily Swanson
• Erik S Swanson, D.M.D.
• Jennifer Sweet
• William E Sweet, DC QME

• Addiction (Substance Use Disorder) Counselor in Visalia, CA
• Providers in Visalia, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.