Individual provider Active NPI

Jazmyne Arteese Bosley, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vista, CA
National Provider Identifier
1932583150
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95010166 Issued in CA
Practice address
380 S Melrose Dr Ste 123
Vista, CA 92081-6641
Phone
(949) 668-3635
Fax
(515) 854-8206
NPI assigned
Jul 17, 2015
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP139156 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95010166 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 851785 CA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 851785 CA

Addresses

Primary practice location

380 S Melrose Dr Ste 123
Vista, CA 92081-6641

Mailing address

380 S Melrose Dr Ste 123
Vista, CA 92081-6641
Phone (949) 668-3635

Other names 1

  • Jazmyne Arteese Greene Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000805 CA Practitioner - Nurse Practitioner 1153751474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

360 Post St
Suite 1000
San Francisco, CA 94108-4913
Phone (415) 964-5137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
851785CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Nov 2, 2022 Accepting new patients
Andrew S Williams M D PastSince Sep 1, 2005 Accepting new patients

Locations

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

12301 Wilshire Blvd
Ste 415
Los Angeles, CA 90025

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

27101 Puerta Real
Ste 120
Mission Viejo, CA 92691
Phone (949) 273-2522

4100 Newport Place Dr
Ste 730
Newport Beach, CA 92660
Phone (949) 544-3040

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540

45 Castro St
Ste 318
San Francisco, CA 94114
Phone (415) 431-9555

361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908

1111 W Robinhood Dr
Ste L
Stockton, CA 95207
Phone (209) 490-4515

4623 Quail Lakes Dr
Stockton, CA 95207
Phone (209) 951-6491

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

Interoperability endpoints

  • Direct secure messaging: jbosley@landmarkhealth-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1932583150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 123",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-668-3635",
            "fax_number": "515-854-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S MELROSE DR STE 123",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816641",
            "telephone_number": "949-668-3635",
            "fax_number": "515-854-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "JAZMYNE",
        "middle_name": "ARTEESE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139156",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95010166",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "851785",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "851785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMYNE",
            "last_name": "GREENE",
            "middle_name": "ARTEESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.