Jesse Mazza, A.T.,C

NPI: 1417921339

Jesse Mazza, A.T.,C

Q: What is Jesse Mazza's NPI number?

Jesse Mazza's NPI number is 1417921339, a unique 10-digit identifier issued by CMS.

Q: What does Jesse Mazza specialize in?

Jesse Mazza specializes in Specialty not listed, taxonomy code 174400000X.

Q: Where does Jesse Mazza practice?

Jesse Mazza practices in San Rafael, CA 94901-2230.

Q: When was Jesse Mazza's NPI issued?

Jesse Mazza's NPI was issued on February 15, 2006.

Q: What is Jesse Mazza's provider type?

Jesse Mazza is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: February 15, 2006

Quick Facts

NPI Number

1417921339

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy174400000X — Specialty not listed

Phone

(415) 257-1353

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1417921339)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (February 15, 2006)

Data source: CMS NPPES

Provider Overview

JESSE MAZZA, A.T.,C is a Healthcare provider based in San Rafael, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417921339

Provider TypeIndividual Provider

GenderMale

CredentialA.T.,C

StatusActive

Enumeration DateFebruary 15, 2006

Practice Location

CitySan Rafael

StateCA

ZIP Code94901-2230

Phone(415) 257-1353

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code174400000X

License StateCA

Mailing Address

CitySan Rafael

StateCA

ZIP Code94901-2230

Phone(415) 257-1353

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1417921339 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 1417921339for 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 1417921339 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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