Individual provider Active NPI

Jason Honig, CHW

  • Community Health Worker
  • Davis, CA
National Provider Identifier
1043072879
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
412 C St
Davis, CA 95616-4127
Phone
(530) 231-4413
NPI assigned
Jan 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

412 C St
Davis, CA 95616-4127

Mailing address

412 C St
Davis, CA 95616-4127
Phone (530) 231-4413

Other practice location 1

3820 Chiles Rd Unit 3119
Davis, CA 95618-4528
Phone (530) 276-8212

Other practice location 2

6300 Ehrhardt Ave
Sacramento, CA 95823-5637
Phone (916) 681-7512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Common Good Solutions LLC Case Management CurrentSince Jan 28, 2024 Accepting new patients
Common Good Community Case Manager/Care Coordinator CurrentSince May 7, 2024 Accepting new patients

Locations

412 C St
Davis, CA 95616
Phone (530) 231-4413

4641 Marconi Ave
Sacramento, CA 95821

6300 Ehrhardt Ave
Sacramento, CA 95823
Phone (916) 404-3229

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734220800000",
    "number": "1043072879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164127",
            "telephone_number": "530-231-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 C ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164127",
            "telephone_number": "530-231-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Chiles Rd Unit 3119",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956184528",
            "country_code": "US",
            "telephone_number": "530-276-8212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Ehrhardt Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235637",
            "country_code": "US",
            "telephone_number": "916-681-7512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONIG",
        "first_name": "JASON",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.