Individual provider Active NPI

Jason Yore

  • In Home Supportive Care Agency
  • Westminster, CA
National Provider Identifier
1336768506
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
10342 Bellehurst Ave
Westminster, CA 92683-5725
Phone
(714) 468-3175
NPI assigned
Apr 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10342 Bellehurst Ave
Westminster, CA 92683-5725

Mailing address

10342 Bellehurst Ave
Westminster, CA 92683-5725
Phone (714) 468-3175

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Westminster

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1336768506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10342 BELLEHURST AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835725",
            "telephone_number": "714-468-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10342 BELLEHURST AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835725",
            "telephone_number": "714-468-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORE",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Westminster",
            "affiliation": "N",
            "address_1": "10342 Bellehurst Ave",
            "city": "Westminster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926835725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.