Individual provider Active NPI

Jassen Valmores

  • Psychiatric/Mental Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1629983952
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95041111 Issued in CA
Practice address
4650 Northgate Blvd Ste 150
Sacramento, CA 95834-1156
Phone
(916) 614-8980
NPI assigned
Aug 19, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95041111 CA Primary

Addresses

Primary practice location

4650 Northgate Blvd Ste 150
Sacramento, CA 95834-1156

Mailing address

4650 Northgate Blvd Ste 150
Sacramento, CA 95834-1156
Phone (916) 614-8980

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1629983952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 NORTHGATE BLVD STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341156",
            "telephone_number": "916-614-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 NORTHGATE BLVD STE 150",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341156",
            "telephone_number": "916-614-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALMORES",
        "first_name": "JASSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95041111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.