Jasmine Sourivong

ActiveIndividual ProviderSpecialty not listed
NPI issued: August 16, 2022

Quick Facts

NPI Number
1215655311
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy174400000X — Specialty not listed
Phone
(510) 593-1835
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1215655311)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 16, 2022)
Data source: CMS NPPES

Provider Overview

JASMINE SOURIVONG is a Healthcare provider based in Stockton, CA who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1215655311
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateAugust 16, 2022

Practice Location

CityStockton
StateCA
ZIP Code95203-1208
Phone(510) 593-1835

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code174400000X
License StateCA

Mailing Address

CityStockton
StateCA
ZIP Code95203-1208
Phone(510) 593-1835
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1215655311 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1215655311for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1215655311 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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98,222
Specialty not listed Providers in the US

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People Also Ask

What is Jasmine Sourivong's NPI number?
Jasmine Sourivong's NPI number is 1215655311, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jasmine Sourivong's NPI currently active?
Yes, Jasmine Sourivong's NPI status is Active as of the latest CMS NPPES database updates.
What does Jasmine Sourivong specialize in?
Jasmine Sourivong specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 174400000X.
Where does Jasmine Sourivong practice?
Jasmine Sourivong practices in Stockton, CA 95203-1208.
When was Jasmine Sourivong's NPI issued?
Jasmine Sourivong's NPI was issued on August 16, 2022.
What is Jasmine Sourivong's provider type?
Jasmine Sourivong is registered as an Individual Provider under CMS NPI Type 1.