Jesse Rasmussen, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1530 S Sinclair St
Anaheim, CA 92806-5933

Phone

(949) 474-2050

NPI assigned

Jul 14, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SG Homecare,Inc.

  • Prosthetic/Orthotic Supplier
  • Anaheim, CA
  • NPI 1568185874
  NPD
• SG Homecare,Inc.

  • Prosthetic/Orthotic Supplier
  • Corona, CA
  • NPI 1194594390
  NPD (past)
• SG Homecare,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Laguna Hills, CA
  • NPI 1851062566
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1366121576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15602 MOSHER AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806427",
            "telephone_number": "949-474-2050",
            "fax_number": "949-474-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 S SINCLAIR ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065933",
            "telephone_number": "949-474-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24012 Calle De La Plata Ste 240",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537623",
            "country_code": "US",
            "telephone_number": "949-474-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3350 E Birch St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928216290",
            "country_code": "US",
            "telephone_number": "949-474-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "JESSE",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Ranzolin
• Alexandra Rapalo
• Rapha Apmc
• Joe Christian Raphael, MFTI MACLP
• Melissa H. Rapp, MD
• Joshua Rasmussen, DPT
• Fatheme R Rastawan, DPT
• Siyamac Rastawan, DPT
• Angela Ratcliffe
• Ahsan Rathore

• Prosthetist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Prosthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.