Active NPI
Sandra Lee Jassmann, MD
- Endocrinology, Diabetes & Metabolism Physician
- La Mesa, CA
National Provider Identifier
1376513168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- G27383
- Practice address
- 5565 Grossmont Center Dr BLDG 3
Suite 360
La Mesa, CA 91942 - Phone
- (619) 462-3360
- Fax
- (619) 462-3363
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | G27383 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G27383 | CA |
Addresses
Primary practice location
5565 Grossmont Center Dr BLDG 3
Suite 360
La Mesa, CA 91942
Mailing address
5565 Grossmont Center Dr BLDG 3
Suite 360
La Mesa, CA 91942
Phone (619) 462-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G273830 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27383 | CA | MD | Health Psychologist |
| G27383 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Associates Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- La Mesa, CA
- NPI 1710099049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1376513168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR BLDG 3",
"address_2": "SUITE 360",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-462-3360",
"fax_number": "619-462-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR BLDG 3",
"address_2": "SUITE 360",
"city": "LA MESA",
"state": "CA",
"postal_code": "91942",
"telephone_number": "619-462-3360",
"fax_number": "619-462-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASSMANN",
"first_name": "SANDRA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "G27383",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G27383",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G273830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.