JAZMIN GUADALUPE GIBSON (NPI# 1932724382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932724382 |
| Entity Type | Individual |
| Full Name | JAZMIN GUADALUPE GIBSON |
| Credential | RAC |
| Practice Address |
1245 E Walnut St Pasadena CA 91106-1878 |
| Practice Telephone | 6267959127 |
| Mailing Telephone | 6267959127 |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215341680 | Jazmin Erika Gibson | Physician Assistant | 22 S Greene St, Baltimore, MD 21201-1544 | 2014-06-13 |
| Street Address |
1245 E WALNUT ST |
| City | PASADENA |
| State | CA |
| Zip Code | 91106-1878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076495 | Shawny Truong | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2020-09-08 |
| 1639717390 | Mario Chico | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-12-12 |
| 1710523089 | Michael Cruzada | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-11-21 |
| 1992355572 | Jodi E Scofield | Case Manager/Care Coordinator | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-09-16 |
| 1730735176 | Tinh Ngo | Social Worker | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-08-12 |
| 1902463672 | Kimberly Westerfield | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-05-28 |
| 1205396983 | Ruth A Baratta | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2019-03-20 |
| 1417456013 | Pearla Ann Perez | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2018-02-08 |
| 1548639446 | Jessica Murillo-garcia | Counselor | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2015-09-21 |
| 1669819017 | Felipe Kaiser | Rehabilitation Practitioner | 1245 E Walnut St, Pasadena, CA 91106-1878 | 2013-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625987 | Alexa Ann Mettrick | Behavior Technician | 1055 E. Colorado Blcd., Suite 560, Pasadena, CA 91106 | 2020-06-25 |
| 1780205344 | Giovani Telusma | Behavior Technician | 1055 E Colorado Blvd Ste 560 Pasadena, Pasadena, CT 91106 | 2020-05-05 |
| 1356838973 | Susan Ende | Marriage & Family Therapist | 945 Hillcrest Place, Pasadena, CA 91106 | 2018-04-19 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1023558848 | Gregory Ohanian Dds Ms Inc. | Dentist | 225 North Allen Avenue, Pasadena, CA 91106 | 2017-02-27 |
| 1508308586 | Quik Care Express Inc | Non-emergency Medical Transport (VAN) | 592 N. Wilson Ave, 5, Pasadena, CA 91106 | 2016-11-08 |
| 1194119867 | Kimberly Ann Ebner | Dentist | 1060 E. Green St., Suite 105, Pasadena, CA 91106 | 2015-03-20 |
| 1346645512 | Neogenomics Laboratories Inc | Specialist | 840 Cameron Dr, Pasadena, CA 91106 | 2014-10-29 |
| 1255756524 | Tirso Deljunco Sr. | Surgery | 1010 E. Union St., #130, Pasadena, CA 91106 | 2014-02-24 |
| 1386072601 | Hiroko Ogura | Acupuncturist | 1224 E Green St Ste 100, Pasadena, CA 91106 | 2013-10-23 |
| Find all providers in zip 91106 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356975593 | Robbie Davis | Counselor | 1710 Strawberry Rd Ste 300, Pasadena, TX 77502-2649 | 2020-02-26 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1689144271 | Cathy Haigis | Counselor | 2528 Mountain Rd.7204, Pasadena, MD 21122-7204 | 2018-11-27 |
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1639678287 | Sean C Velazco | Counselor | 1245 E. Walnut St., Pasadena, CA 91106 | 2018-02-09 |
| 1013415215 | Dedicato Treatment Center Inc | Counselor | 133 N Altadena Dr Ste 430, Pasadena, CA 91107-7344 | 2018-01-23 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922528769 | Calvin Hayes | Counselor | 135 W Washington Blvd, Pasadena, CA 91103-2563 | 2017-06-22 |
| 1518406545 | Kevin Cross | Counselor | 25 El Nido Ave Apt 5, Pasadena, CA 91107-4448 | 2017-02-23 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.