Jeremiah Dwayne Mason, ASW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4283 El Cajon Blvd Ste 115
San Diego, CA 92105-1289

Phone

(619) 521-1743

NPI assigned

Oct 12, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1164020251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 EL CAJON BLVD STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051289",
            "telephone_number": "619-521-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 EL CAJON BLVD STE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051289",
            "telephone_number": "619-521-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JEREMIAH",
        "middle_name": "DWAYNE",
        "credential": "ASW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremiah.mason@mhsinc.org",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4283 El Cajon Blvd Ste 115",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921051289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devin Taylor Mason, PMHNP-BC
• Diana Mason, BCBA
• Forrest Parker Mason, DMD
• James Mason, MA MFT
• Jennifer Suelan Mason
• Jessica E Mason
• Jewel Mason
• Kassandra Marie Mason, LMFT
• Lauren Nicole Mason, MFT
• Madeline Leitha Mason

• Case Manager/Care Coordinator in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.