Carousel Developmental Service

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CAROUSEL DEVELOPMENTAL SERVICE

Practice address

300 S Park Ave Ste 804
Pomona, CA 91766-1559

Phone

(909) 469-2022

NPI assigned

Jan 3, 2020

Organization subpart

No

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

Authorized official

Name

Jazmine Blackman, M.A.

Title

Co-Owner/Director

Phone

(909) 469-2022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1275172579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE STE 804",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661559",
            "telephone_number": "909-469-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PARK AVE STE 804",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661559",
            "telephone_number": "909-469-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROUSEL DEVELOPMENTAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "BLACKMAN",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-469-2022",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista R Carigo
• Karina Carlos
• Marianne Carlota, FNP
• Mariah Carlson
• Amanda Sarah Carnes
• Jill Pauline Carpenter, RDA
• Maria del Rosario Carranza Sosa
• Ariana Carranza-Mejia
• Cassidy Kaylene Carranza
• Denisse Anabel Carrillo

• Early Intervention Provider Agency in Pomona, CA
• Providers in Pomona, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.