Active NPI
Jason Mark Ancog Mayor, RN
- Ambulatory Care Registered Nurse
- Santa Clara, CA
National Provider Identifier
1902753833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 95298650
- Practice address
- 2441 Mission College Blvd
Santa Clara, CA 95054-1214 - Phone
- (408) 720-6668
- NPI assigned
- Mar 11, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Oncology Registered Nurse | 163WP0218X | 95298650 | CA | |
| Oncology Registered Nurse | 163WX0200X | 95298650 | CA | |
| Ambulatory Care Registered Nurse | 163WP2201X | 95298650 | CA | Primary |
Addresses
Primary practice location
2441 Mission College Blvd
Santa Clara, CA 95054-1214
Mailing address
2441 Mission College Blvd
Santa Clara, CA 95054-1214
Phone (408) 720-6668
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95298650 | CA | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1902753833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 MISSION COLLEGE BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541214",
"telephone_number": "408-720-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 MISSION COLLEGE BLVD",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541214",
"telephone_number": "408-720-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYOR",
"first_name": "JASON MARK",
"middle_name": "ANCOG",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-11",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0218X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatric Oncology",
"state": "CA",
"license": "95298650",
"primary": false
},
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "CA",
"license": "95298650",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "95298650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.