Active NPI
Jasmine Pang, OTD
- Occupational Therapist
- Honolulu, HI
National Provider Identifier
1730836842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23088
- Practice address
- 2038A Ala Mahamoe St
Honolulu, HI 96819-1665 - Phone
- (415) 439-0746
- NPI assigned
- Mar 8, 2022
- Last updated
- Aug 19, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23088 | CA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | NU | ||
| Gerontology Occupational Therapist | 225XG0600X | NU | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NU |
Addresses
Primary practice location
2038A Ala Mahamoe St
Honolulu, HI 96819-1665
Mailing address
5010 Ensign St
San Diego, CA 92117-1205
Other names 1
- Jasmine Louis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jasminepang@spgtherapy.com |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1730836842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5010 ENSIGN ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921171205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2038A ALA MAHAMOE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191665",
"telephone_number": "415-439-0746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANG",
"first_name": "JASMINE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23088",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jasminepang@spgtherapy.com",
"affiliation": "N",
"address_1": "2038A Ala Mahamoe St",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968191665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JASMINE",
"last_name": "LOUIS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.