Jesse Caguioa Damino, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95022814 Issued in CA

Practice address

2122 San Marino Ave
Clovis, CA 93619-8763

Phone

(559) 321-4368

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Coast Behavioral Health IncGroup PAC ID 6204356660, 14 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Coast Behavioral Health, Inc.

  • Psychiatry Physician
  • Arroyo Grande, CA
  • NPI 1699112698

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Palm Desert Psychiatry Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palm Desert, CA
  • NPI 1487277257
  NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1235837246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 SAN MARINO AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198763",
            "telephone_number": "559-321-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 SAN MARINO AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198763",
            "telephone_number": "559-321-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMINO",
        "first_name": "JESSE",
        "middle_name": "CAGUIOA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022814",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95022814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF REGISTERED NURSING",
            "identifier": "95022814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marjorie Nanell Dacquisto
• Laurie Suzanne Dahlberg, R.N., C.P.N.P.
• Shireen R Damania, MD
• John Damerson
• Damien Terronez Licensed Clinical Social Worker PC
• Dan Borgstadt MD Inc
• Khanh Tuan Dang, PHARM.D
• Daniel & Max LLC (Stanton Optical)
• Danny Lascano Medical Corporation
• Youssi H Daoud, PHARMACIST

• Psychiatric/Mental Health Nurse Practitioner in Clovis, CA
• Providers in Clovis, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.