Jazmin A White, MA

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

Practice address

5275 Claremont Ave
Oakland, CA 94618-1032

Phone

(510) 428-3885

NPI assigned

May 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1184280570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COGGINS DR APT B109",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234567",
            "telephone_number": "707-805-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 CLAREMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181032",
            "telephone_number": "510-428-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "JAZMIN",
        "middle_name": "A",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza L. White, MD
• Glennisha S White, BCBA
• Hilary Ferris White, LCSW
• Jan Quinton White
• Janet Louise White, L.C.S.W.
• Jennifer White
• Katherine Elizabeth White, MFT
• Khaledah Monique White
• Kierre White
• Lionel Henry White, M. ED.

• Health Service Psychologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Health Service Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.