Adam Douglas Jasa

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA7671 Issued in CA

Practice address

1421 Guerneville Rd
224
Santa Rosa, CA 95403-7220

Phone

(707) 544-4433

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1811271687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "address_2": "224",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-544-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GUERNEVILLE RD",
            "address_2": "224",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037220",
            "telephone_number": "707-544-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASA",
        "first_name": "ADAM",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Erika Janson, MFT INTERN
• Brian Keith Jaramillo, CMT
• Kasandra Jaramillo
• John B Jarvis, PH.D.
• Robert Elton Jarvis II, DDS
• Danielle Shereen Javadi
• Wendy Javier Chan
• Aruna Krishnan Jayaraman, M.D., M.H.S.
• Jajuan Jaymes
• Shiloh Marie Jayne

• Hearing Instrument Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Hearing Instrument Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.