Individual provider Active NPI

Jasmine Rossi-Devries

  • Social Worker
  • Santa Ana, CA
National Provider Identifier
1346748316
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120953 Issued in CA
Practice address
615 W Civic Center Dr Ste 200
Santa Ana, CA 92701-4052
Phone
(714) 795-3444
NPI assigned
Jan 24, 2018
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 120953 CA Primary

Addresses

Primary practice location

615 W Civic Center Dr Ste 200
Santa Ana, CA 92701-4052

Mailing address

615 W Civic Center Dr Ste 200
Santa Ana, CA 92701-4052

Other practice location 1

2620 26th Ave
Oakland, CA 94601-1907
Phone (510) 437-2363

Other practice location 2

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other practice location 3

25 Beulah St
San Francisco, CA 94117
Phone (415) 668-1511

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

State licenses

LicenseStateTypeSpecialty
120953CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Foundation Past Accepting new patients
Telecare Corporation PastSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1346748316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CIVIC CENTER DR STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W CIVIC CENTER DR STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014052",
            "telephone_number": "714-795-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946011907",
            "country_code": "US",
            "telephone_number": "510-437-2363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 Fell St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025144",
            "country_code": "US",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Beulah St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94117",
            "country_code": "US",
            "telephone_number": "415-668-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI-DEVRIES",
        "first_name": "JASMINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "120953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.