Active NPI
Jasmine Joy McLeod, M.D.
- Specialist
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G64127
- Practice address
- 339 E Highland Ave
Suite 524
San Bernardino, CA 92404-3878 - Phone
- (909) 886-6904
- Fax
- (909) 881-6424
- NPI assigned
- Dec 23, 2005
- Last updated
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G64127 | CA | Primary |
Addresses
Primary practice location
339 E Highland Ave
Suite 524
San Bernardino, CA 92404-3878
Mailing address
29798 Haun Rd
Suite 204
Menifee, CA 92586-6541
Phone (909) 886-6904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64127 | CA | MD | Specialist |
| 64127 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology Thomas J Hoffmann MD Surgical&Medical Office Inc | Current | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Darush L. Mohyi, M.D., a Professional Corporation | Past | Accepting new patients | |
| Diagnostic Imaging Services | Past | Accepting new patients |
Locations
18145 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (760) 242-7546
399 E Highland Ave
Ste 524
Sn Bernrdno, CA 92404
Phone (909) 886-6904
29798 Haun Rd
Ste 204
Sun City, CA 92586
Phone (909) 886-6904
Organizations & group practices 5
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.
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- NPI 1275613291
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dba Eisenhower Health
- General Acute Care Hospital
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- NPI 1013981554
-
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- Rehabilitation Hospital Unit
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- NPI 1114901352
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1326025941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29798 HAUN RD",
"address_2": "SUITE 204",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925866541",
"telephone_number": "909-886-6904",
"fax_number": "909-881-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 E HIGHLAND AVE",
"address_2": "SUITE 524",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924043878",
"telephone_number": "909-886-6904",
"fax_number": "909-881-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "JASMINE",
"middle_name": "JOY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G64127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.