Individual provider Active NPI

Desiree Jabin, RRT

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • La Mesa, CA
National Provider Identifier
1508337445
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
RCP40313 Issued in CA
Practice address
8380 Center Dr Ste E
La Mesa, CA 91942-2952
Phone
(619) 466-6077
Fax
(619) 466-6118
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Rehabilitation Registered Respiratory Therapist 2279P1005X RCP40313 CA Primary

Addresses

Primary practice location

8380 Center Dr Ste E
La Mesa, CA 91942-2952

Mailing address

8380 Center Dr Ste E
La Mesa, CA 91942-2952
Phone (619) 466-6077

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RCP40313CAMDPulmonary Rehabilitation Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1508337445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 CENTER DR STE E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422952",
            "telephone_number": "619-466-6077",
            "fax_number": "619-466-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 CENTER DR STE E",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919422952",
            "telephone_number": "619-466-6077",
            "fax_number": "619-466-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABIN",
        "first_name": "DESIREE",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1005X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": "CA",
            "license": "RCP40313",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2018; 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.