Individual provider Active NPI

Jazmine Monique Verduzco

  • Health & Wellness Coach
  • Castro Valley, CA
National Provider Identifier
1194574327
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
4400 Alma Ave
Castro Valley, CA 94546-3104
Phone
(510) 537-3000
NPI assigned
May 20, 2024
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Health & Wellness Coach 171400000X NU Primary

Addresses

Primary practice location

4400 Alma Ave
Castro Valley, CA 94546-3104

Mailing address

4519 Newhaven Way
Castro Valley, CA 94546-3641
Phone (510) 372-6137

Other practice location 1

1255 Allston Way
Berkeley, CA 94702-1833
Phone (510) 845-9010

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Youth Alternatives CurrentSince May 1, 2024 Accepting new patients
Berkeley Youth Alternatives CurrentSince May 1, 2024 Accepting new patients
Castro Valley Unified PastSince Sep 3, 2025 Accepting new patients

Locations

1255 Allston Way
Berkeley, CA 94702
Phone (510) 845-9010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1194574327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 NEWHAVEN WAY",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463641",
            "telephone_number": "510-372-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ALMA AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945463104",
            "telephone_number": "510-537-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Allston Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947021833",
            "country_code": "US",
            "telephone_number": "510-845-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERDUZCO",
        "first_name": "JAZMINE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.