Luis Jaro Jasa, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME100060 Issued in FL

Practice address

2020 26TH Ave E
Bradenton, FL 34208-7753

Phone

(941) 782-4600

Fax

(941) 782-4601

NPI assigned

Sep 29, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Centerstone of Florida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sarasota, FL
  • NPI 1033789052
  NPD (past)
• Trinitas Regional Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cranford, NJ
  • NPI 1518423698
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1366534836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342069478",
            "telephone_number": "941-782-4299",
            "fax_number": "941-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 26TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342087753",
            "telephone_number": "941-782-4600",
            "fax_number": "941-782-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASA",
        "first_name": "LUIS",
        "middle_name": "JARO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA58356",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME100060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Janus, ED.D
• Barron Japinoski
• Crystal Jaramillo, MA, LMHC
• Sarah Jardine, LMT
• Dora Elena Jarquin, D.M.D
• Kimberly D Jasch, ARNP
• Jaslinks Companion Care Inc
• Jack Charles Jawitz, MD
• Jennys Jay Costa
• Jay Crump OD PA

• Psychiatry Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.