Individual provider Active NPI

Jasmine Joy McLeod, M.D.

  • Specialist
  • San Bernardino, CA
National Provider Identifier
1326025941
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G64127 Issued in CA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20031118000819 CA Practitioner - General Practice 5193639672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64127CAMDSpecialist
64127CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Thomas J Hoffmann MD Surgical&Medical Office Inc CurrentSince Feb 1, 2017 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.

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.

Verify at the official NPI Registry.