Jason Mabbayad, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

2145 E Tahquitz Canyon Way Ste 3
Palm Springs, CA 92262-7020

Phone

(760) 322-3700

Fax

(760) 322-3710

NPI assigned

May 6, 2019

Last updated

May 6, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Mirage Home Health LLC

  • Home Health Agency
  • Palm Springs, CA
  • NPI 1295395549
  Authorized official Same address or phone

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1205491115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74127 E PETUNIA PL",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112079",
            "telephone_number": "760-799-4025",
            "fax_number": "760-323-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 E TAHQUITZ CANYON WAY STE 3",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627020",
            "telephone_number": "760-322-3700",
            "fax_number": "760-322-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 E Tahquitz Canyon Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922627020",
            "country_code": "US",
            "telephone_number": "760-322-3700",
            "fax_number": "760-322-3710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABBAYAD",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miragehhealth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "admin email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2145 E Tahquitz Canyon Way Ste 3",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922627020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan Daniel Lungstrom, DO
• Anh The Luong, MD
• Vivian Nguyen Luu, PHARMACY RESIDENT
• Thomas Matthew Lyons, LMFT
• Justin Khoa Dang Ma, PHARMD, BCIDP
• Thomas Richard Macdermaid, M.D.
• Arturo Macias
• Peter James Maciel
• Yasmin Madrigal, LVN
• Celia Magana

• Home Health Agency in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.