Individual provider Active NPI

Jasmine Rae Pauw

  • Registered Nurse
  • Fullerton, CA
National Provider Identifier
1942114269
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95305429 Issued in CA
Practice address
1235 N Harbor Blvd Ste 120
Fullerton, CA 92832-1323
Phone
(714) 472-0777
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95305429 CA Primary

Addresses

Primary practice location

1235 N Harbor Blvd Ste 120
Fullerton, CA 92832-1323

Mailing address

10392 Pua Dr
Huntington Beach, CA 92646-2558
Phone (714) 472-0777

Other names 1

  • Jasmine Rae Selanders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1942114269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10392 PUA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462558",
            "telephone_number": "714-472-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321323",
            "telephone_number": "714-472-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUW",
        "first_name": "JASMINE",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95305429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMINE",
            "last_name": "SELANDERS",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.