Active NPI
Jasmin Brown, MD
- Pediatrics Physician
- Thermal, CA
National Provider Identifier
1508277245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 152364
- Practice address
- 55497 Van Buren St
Thermal, CA 92274-9412 - Phone
- (760) 399-4526
- Fax
- (619) 398-2412
- NPI assigned
- May 15, 2014
- Last updated
- Jun 25, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 152364 | CA | Primary |
Addresses
Primary practice location
55497 Van Buren St
Thermal, CA 92274-9412
Mailing address
55497 Van Buren St
Thermal, CA 92274-9412
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210729001308 | CA | Practitioner - Pediatric Medicine | 8224431168 |
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of California, Davis School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Borrego Community Health Foundation
Practice addresses (Care Compare)
PO Box
Suite 2369
Borrego Springs, CA 92004-2369
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152364 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba DAP Health-Borrego Springs Community Health Center
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1508277245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55497 VAN BUREN ST",
"city": "THERMAL",
"state": "CA",
"postal_code": "922749412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55497 VAN BUREN ST",
"city": "THERMAL",
"state": "CA",
"postal_code": "922749412",
"telephone_number": "760-399-4526",
"fax_number": "619-398-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "JASMIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-15",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "152364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thermal, CA
- Hector Barajas, FNP
- Sergio H Barajas, PHYSICIAN ASSISTANT
- Martha Barragan, BCBA
- Berenice Yudith Becerra Bermudez, M.A. CF-SLP
- Ana Yanet Becerril
- Jorge A. Capo-Rodriguez, MD
- Rebeca Carrillo Rodriguez, LMFT151246
- Daniela Cervantes-Elia, RN BSN MSN FNP
- Jailine Chavez
- Coachella Valley Unified School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.