Active NPI
Jasmine M Pugh
- Clinical Social Worker
- Bay Point, CA
National Provider Identifier
1962196709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 124661
- Practice address
- 640 Bailey Rd # 448
Bay Point, CA 94565-4306 - Phone
- (510) 290-1577
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | 124661 | CA | Primary |
| Mental Health Occupational Therapist | 225XM0800X | 124661 | CA |
Addresses
Primary practice location
640 Bailey Rd # 448
Bay Point, CA 94565-4306
Mailing address
640 Bailey Rd # 448
Bay Point, CA 94565-4306
Other practice location 1
747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124661 | CA | MD | Mental Health Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1962196709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 BAILEY RD # 448",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945654306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 BAILEY RD # 448",
"city": "BAY POINT",
"state": "CA",
"postal_code": "945654306",
"telephone_number": "510-290-1577"
}
],
"practiceLocations": [
{
"address_1": "747 52nd St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946091809",
"country_code": "US",
"telephone_number": "510-428-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUGH",
"first_name": "JASMINE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "124661",
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "CA",
"license": "124661",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.