Jasmin Melchor Colansong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031252 Issued in CA

Practice address

10565 Civic Center Dr BLDG Ste 165
Rancho Cucamonga, CA 91730-3853

Phone

(909) 985-2211

Fax

(909) 985-2244

NPI assigned

Nov 28, 2024

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Pasadena, CA
  • NPI 1497747356

  CA

  Medicare reassignment NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Clarita, CA
  • NPI 1124669544
  NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1245832419
  NPD
• Algos Inc., a Medical Corporation

  • Pain Medicine Physician
  • Simi Valley, CA
  • NPI 1063890275
  NPD (past)

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1184440752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "626-696-1471",
            "fax_number": "626-696-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR BLDG STE 165",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303853",
            "telephone_number": "909-985-2211",
            "fax_number": "909-985-2244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11050 Momentum Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300987",
            "country_code": "US",
            "telephone_number": "860-518-3689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLANSONG",
        "first_name": "JASMIN",
        "middle_name": "MELCHOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Coffman
• Cofordo, Inc.
• Harvey Donald Cohen, MD
• Marissa C Cohran
• Jillian Dewitt Coker
• Madison Elizabeth Colbert, FNP-C
• Debbie Cole
• Jade Cole
• Landon Wesly Cole
• Cameron Christian Coleman

• All providers in Rancho Cucamonga, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2025; 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.