Jerold Arthur Hassel

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-NYGIQ Issued in CA

Practice address

1103 N B St Ste E
Sacramento, CA 95811-0326

Phone

(916) 378-8266

NPI assigned

Jan 25, 2017

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.

• Medmark Treatment Centers - Sacramento, Inc.

  • Methadone Clinic
  • Sacramento, CA
  • NPI 1255419172
  NPD (past)

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1033656319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N B ST STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110326",
            "telephone_number": "916-378-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N B ST STE E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958110326",
            "telephone_number": "916-378-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSEL",
        "first_name": "JEROLD",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-NYGIQ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saima Hasnain, DDS
• Virginia McCoy Hass, FNP, DNP
• Allen C Hassan, M.D.
• Dahir Hassan
• Maheen Ahmed Hassan, M.D.
• Erica Anne Hasselberg
• Anna Ruth Hasselblad, B.A.
• Brandon Victor Hassid
• Eric I Hassid, M.D.
• Ahmed Hasson, MD

• Peer Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.