Active NPI
Jason Norbert Wasche, DO
- Family Medicine Physician
- Watsonville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11163
- Practice address
- 550 S Green Valley Rd
Watsonville, CA 95076-3053 - Phone
- (831) 458-5865
- Fax
- (831) 458-5878
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A11163 | CA | Primary |
Addresses
Primary practice location
550 S Green Valley Rd
Watsonville, CA 95076-3053
Mailing address
2025 Soquel Ave
Santa Cruz, CA 95062-1323
Phone (831) 458-5865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
325 Distel Cir
Los Altos, CA 94022-1408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11163 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians Inc | Current | Accepting new patients | |
| Addiction Research and Treatment, Inc. | Current | Accepting new patients | |
| Janus of Santa Cruz | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Janus of Santa Cruz | Past | Accepting new patients |
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
200 7th Ave
Ste 150
Santa Cruz, CA 95062
Phone (831) 423-9015
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 6
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.
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-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1912045196
-
- Internal Medicine Physician
- Murrieta, CA
- NPI 1861767030
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Methadone Clinic
- Santa Cruz, CA
- NPI 1730213794
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Santa Cruz, CA
- NPI 1467608745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1376857409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SOQUEL AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950621323",
"telephone_number": "831-458-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S GREEN VALLEY RD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950763053",
"telephone_number": "831-458-5865",
"fax_number": "831-458-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASCHE",
"first_name": "JASON",
"middle_name": "NORBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.