Jazmin Collier

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

361800441 Issued in CA

Practice address

1053 N Brierwood Ave
Rialto, CA 92376-3992

Phone

(909) 543-7604

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Special Angels Group Facilities, Inc

  • Assisted Living Facility
  • Rialto, CA
  • NPI 1386248193
  NPD Authorized official

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1780287938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763992",
            "telephone_number": "909-543-7604",
            "fax_number": "909-961-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 N BRIERWOOD AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763992",
            "telephone_number": "909-543-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JAZMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "361800441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Maurice Clayton
• Cohen Sedgh, Manavi & Pakravan Dental Corporation (West Coast Dental Group of Rialto)
• Cohen Sedgh, Manavi & Pakravan Dental Corporation (West Coast Dental Group of Rialto)
• Denise M Coleman
• Rachel Ann Coley
• Coltin Care Homes LLC
• Martha Evangeline Colunga, PA-C
• Angelica Silvia Combs, LCSW
• Ivanna Dora Conde
• Margarita Florence Conn, REGISTERED NURSE

• Nursing Home Administrator in Rialto, CA
• Providers in Rialto, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.