Individual provider Active NPI

Jasmin Lebastchi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Riverside, RI
National Provider Identifier
1740628874
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD16710 Issued in RI
Practice address
375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234
Phone
(401) 649-4091
Fax
(401) 649-4091
NPI assigned
Jun 11, 2013
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C194274 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD16710 RI Primary

Addresses

Primary practice location

375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234

Mailing address

375 Wampanoag TRL Ste 202B
Riverside, RI 02915-2234

Other practice location 1

267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3792

Other practice location 2

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 509-2347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190719001859 RI Practitioner - Endocrinology 1759675101 Reassigns benefits to 1 organization
I20250707002943 CA Practitioner - Endocrinology 1759675101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C194274CAMDEndocrinology, Diabetes & Metabolism Physician
MD16710RIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Hospital CurrentSince Sep 1, 2019 Accepting new patients
UC Regents Endocrinology, Diabetes & Metabolism CurrentSince Jun 16, 2025 Accepting new patients
UC Regents CurrentSince Jun 16, 2025 Accepting new patients
UC Regents Current Accepting new patients
Rhode Island Hospital CurrentSince Sep 1, 2019 Accepting new patients
UC Regents Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741

593 Eddy St
Providence, RI 02903

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1740628874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 202B",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRL STE 202B",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152234",
            "telephone_number": "401-649-4091",
            "fax_number": "401-649-4091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Grant St",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "CT",
            "postal_code": "066102805",
            "country_code": "US",
            "telephone_number": "203-384-3792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 The City Dr S",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683201",
            "country_code": "US",
            "telephone_number": "714-509-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBASTCHI",
        "first_name": "JASMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C194274",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "RI",
            "license": "MD16710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.