Active NPI
Jasmine Khinda
- Nurse's Aide
- Tracy, CA
National Provider Identifier
1649144296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 01262076
- Practice address
- 1051 Tennis LN
Tracy, CA 95376-4417 - Phone
- (209) 740-4483
- NPI assigned
- Oct 6, 2025
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 01262076 | CA | Primary |
| Phlebotomy Technician | 246RP1900X | 02344025 | CA |
Addresses
Primary practice location
1051 Tennis LN
Tracy, CA 95376-4417
Mailing address
1051 Tennis LN
Tracy, CA 95376-4417
Other practice location 1
2121 N California Blvd Ste 150
Walnut Creek, CA 94596-7341
Phone (925) 939-3655
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
| License | State | Type | Specialty |
|---|---|---|---|
| 02344025 | CA | MD | Phlebotomy Technician |
| 01262076 | CA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1649144296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 TENNIS LN",
"city": "TRACY",
"state": "CA",
"postal_code": "953764417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 TENNIS LN",
"city": "TRACY",
"state": "CA",
"postal_code": "953764417",
"telephone_number": "209-740-4483"
}
],
"practiceLocations": [
{
"address_1": "2121 N California Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945967341",
"country_code": "US",
"telephone_number": "925-939-3655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHINDA",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CA",
"license": "01262076",
"primary": true
},
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "02344025",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.