Jasmin Nicole Jaylo Bergado, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95026428 Issued in CA

Practice address

808 W San Carlos St
San Jose, CA 95126-4331

Phone

(669) 231-9091

NPI assigned

Apr 3, 2024

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1174375257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 ONTARIO DR APT 24",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875480",
            "telephone_number": "669-231-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W SAN CARLOS ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951264331",
            "telephone_number": "669-231-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGADO",
        "first_name": "JASMIN NICOLE",
        "middle_name": "JAYLO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95026428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemma Berdin
• Nazareth Bereket
• Shannon Lynn Berendes, AU.D.
• Robin Beresford, LMFT
• Daria Bereza
• Andrew Charles Berger, PH.D.
• Claire Berger, M.A CCC-SLP
• Deanna Berger
• Katherine Berger, RD
• Florinda Berglund

• Psychiatric/Mental Health Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.