Individual provider Active NPI

Marcos Daniel Jasso, MA LEVEL

  • Behavior Analyst
  • Granada Hills, CA
National Provider Identifier
1194361006
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
17037 Chatsworth St Ste 206
Granada Hills, CA 91344-5874
Phone
(818) 937-0882
Fax
(818) 937-0883
NPI assigned
Nov 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X CA Primary

Addresses

Primary practice location

17037 Chatsworth St Ste 206
Granada Hills, CA 91344-5874

Mailing address

4515 Ocean View Blvd Ste 320
La Canada, CA 91011-1438
Phone (818) 937-0882

Other practice location 1

4515 Ocean View Blvd Ste 320
LA Canada, CA 91011-1438
Phone (818) 937-0882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Inizio Interventions, Inc. Behavior Analyst PastSince Dec 1, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1194361006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 OCEAN VIEW BLVD STE 320",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910111438",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17037 CHATSWORTH ST STE 206",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445874",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Ocean View Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "LA Canada",
            "state": "CA",
            "postal_code": "910111438",
            "country_code": "US",
            "telephone_number": "818-937-0882",
            "fax_number": "818-937-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JASSO",
        "first_name": "MARCOS",
        "middle_name": "DANIEL",
        "credential": "MA LEVEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.