Individual provider Active NPI

John Filip Gingco Jamero

  • Psychiatric/Mental Health Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1710837232
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
772015 Issued in CA
Practice address
5201 Norris Canyon Rd
San Ramon, CA 94583-5411
Phone
(206) 823-1004
NPI assigned
Feb 3, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 772015 CA Primary

Addresses

Primary practice location

5201 Norris Canyon Rd
San Ramon, CA 94583-5411

Mailing address

210 E 3Rd St Apt 211
Long Beach, CA 90802-3190
Phone (562) 716-3431

Other practice location 1

210 E 3rd St Apt 211
Long Beach, CA 90802-3190
Phone (562) 716-3431

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610003337 CA Practitioner - Nurse Practitioner 4385116391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
772015CAMDPsychiatric/Mental Health Nurse Practitioner

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1710837232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 3RD ST APT 211",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023190",
            "telephone_number": "562-716-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORRIS CANYON RD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835411",
            "telephone_number": "206-823-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E 3rd St Apt 211",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908023190",
            "country_code": "US",
            "telephone_number": "562-716-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMERO",
        "first_name": "JOHN FILIP",
        "middle_name": "GINGCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "772015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.