Jasmyne Richmond

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

1570 164TH Ave
San Leandro, CA 94578-2286

Phone

(619) 788-6794

Fax

(619) 788-6794

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1114429180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 164TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 164TH AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782286",
            "telephone_number": "619-788-6794",
            "fax_number": "619-788-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "JASMYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Richards, M.D.
• Madelaine Alexandra Richards
• Heather Richardson
• Lannette Richardson
• Bonita K. Richman, R.N.
• Cameron Kellia Riddle
• Shawntale Rideau, LVN
• Teaira Ridgeway
• Jamie Lynn Rieken
• Carol Righton

• Community/Behavioral Health Agency in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.