Active NPI
Jasmine T Nguyen
- Behavior Technician
- Santa Ana, CA
National Provider Identifier
1649979568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1500 N Grand Ave Ste a
Santa Ana, CA 92701-2611 - Phone
- (949) 540-9992
- Fax
- (949) 540-9153
- NPI assigned
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | Primary |
Addresses
Primary practice location
1500 N Grand Ave Ste a
Santa Ana, CA 92701-2611
Mailing address
1500 N Grand Ave Ste a
Santa Ana, CA 92701-2611
Phone (949) 540-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7144086033 | Other | CA | PHONE - CELL |
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": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1649979568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 N GRAND AVE STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012611",
"telephone_number": "949-540-9992",
"fax_number": "949-540-9153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N GRAND AVE STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927012611",
"telephone_number": "949-540-9992",
"fax_number": "949-540-9153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JASMINE",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHONE - CELL",
"identifier": "7144086033",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.