Jasmine Acocella, CPT1

Primary specialty

TechnicianTaxonomy code 374700000X

License

00054558 Issued in CA

Practice address

1620 60TH Ave
Sacramento, CA 95822-4222

Phone

(916) 968-3702

NPI assigned

Mar 31, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2022.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1033859582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 60TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224222",
            "telephone_number": "916-968-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 60TH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224222",
            "telephone_number": "916-968-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOCELLA",
        "first_name": "JASMINE",
        "credential": "CPT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "CA",
            "license": "00054558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sacramento, CA
• Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.