Jacqueline Marie Ohagan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2120 Alpine Blvd
Alpine, CA 91901-2113

Phone

(619) 445-2644

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316550387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WHITNEY ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104803",
            "telephone_number": "805-231-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113",
            "telephone_number": "619-445-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHAGAN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE ONE",
            "identifier": "0000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johagan@astci.com",
            "affiliation": "Y",
            "endpointDescription": "Encrypted email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "johagan@astci.com",
            "address_1": "2120 Alpine Blvd",
            "city": "Alpine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919012113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Turin Mustafa
• Noor Naama, RDH
• Cari Nickson, A-GNP-C
• Agnieszka Ewa Norton
• Corinne Odom
• Karen Emi Okabe, PTA
• Anthonia O Okoh, DNP
• Christina Oliveros
• Madeline Claire Olsen
• Rodolfo Orozco, DDS

• Student in an Organized Health Care Education/Training Program in Alpine, CA
• Providers in Alpine, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.