Jazmin Terrazas, EMT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

R1360550819 Issued in CA

Practice address

2201 Kilson Dr
Santa Ana, CA 92707-2954

Phone

(714) 785-8188

NPI assigned

Sep 9, 2019

Last updated

Sep 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

Practice roles

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.

• Clean Path Recovery, LLC

  dba Clean Path Behavioral Health

  • Substance Abuse Rehabilitation Facility
  • Irvine, CA
  • NPI 1578067625
  NPD (past)

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1316596752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 KILSON DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072954",
            "telephone_number": "949-734-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 KILSON DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927072954",
            "telephone_number": "714-785-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "JAZMIN",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E106933",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "R1360550819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL EMS REGISTRY",
            "identifier": "E106933",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Tennyson
• Cecille O. Teope
• Jose Alberto Teposte
• Lucas Teran
• Samantha Teran
• Carmen E. Terreros, M.D.
• Hermelinda Terrones Najera
• Garo M. Tertzakian
• Jeremy Teschera, M.A.
• Shannon Tessier, BT

• Behavior Technician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.