Jazmine Rocha

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

302 Cherry LN Ste 101
Manteca, CA 95337-4311

Phone

(209) 647-6200

NPI assigned

Jul 28, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Victor Community Support Services, Inc.

  • Community/Behavioral Health Agency
  • Manteca, CA
  • NPI 1215579628
  NPD
• Victor Community Support Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Stockton, CA
  • NPI 1932251980
  NPD (past)

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1134738834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 W MARCH LN STE 125",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078224",
            "telephone_number": "209-465-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CHERRY LN STE 101",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374311",
            "telephone_number": "209-647-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "JAZMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ripudaman S Beniwal MD Inc
• Diana Rivera
• Robert P. Nakaki Dental Corporation
• Jacob Roberts-Foreman
• Shaela Robinson
• Brianna Rodriguez
• Brianna Lyzette Rodriguez
• Emily Rodriguez
• Gilberto Rodriguez
• Nitza Rachel-F Rodriguez

• Community Health Worker in Manteca, CA
• Providers in Manteca, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.