JASON ALLEN MACK (NPI# 1982254686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982254686 |
| Entity Type | Individual |
| Full Name | JASON ALLEN MACK |
| Credential | MSWI |
| Practice Address |
3637 Mission Ave Carmichael CA 95608-2946 |
| Practice Telephone | 9164854175 |
| Mailing Telephone | 9164854175 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5593 | CA | Behavioral Health & Social Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730325655 | Jason Allen Mack | Chiropractor | 8854 Greenback Ln Ste 2, Orangevale, CA 95662-4084 | 2008-12-23 |
| 1609169200 | Jason D Mack | Family Medicine | 425 Wind Ridge Dr, Wausau, WI 54401-4149 | 2011-05-16 |
| 1346390044 | Jason Mack | Pediatrics | 1901 1st Ave, Dept of Pediatrics Room 523, New York, NY 10029-7404 | 2007-01-12 |
| Street Address |
3637 MISSION AVE |
| City | CARMICHAEL |
| State | CA |
| Zip Code | 95608-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252396 | Peter Kolbeck | Specialist | 3637 Mission Ave, Bldg A Ste 5, Carmichael, CA 95608-2946 | 2005-11-17 |
| 1669877619 | Elizabeth Jane Waits | Counselor | 3637 Mission Ave, Carmichael, CA 95608-2946 | 2014-10-31 |
| 1316276082 | Molly Sherrick Boudreault | Registered Nurse | 3637 Mission Ave, Suite 7, Carmichael, CA 95608-2946 | 2009-12-09 |
| 1902940489 | Rose Aghahowa | Counselor | 3637 Mission Ave, Carmichael, CA 95608-2946 | 2007-02-16 |
| 1265526149 | Katherine Marie Unger | Pathology | 3637 Mission Ave, Bldg A Ste 5, Carmichael, CA 95608-2946 | 2006-10-03 |
| 1841213683 | Henry E Mcneely | Specialist | 3637 Mission Ave, Suite 5, Carmichael, CA 95608-2946 | 2006-07-25 |
| 1235174640 | Reggie Zhan | Pathology | 3637 Mission Ave, Suite 5, Carmichael, CA 95608-2946 | 2006-06-19 |
| 1831144732 | Neema Mohammad Aghamohammadi | Internal Medicine | 3637 Mission Ave, Suite 7, Carmichael, CA 95608-2946 | 2006-05-23 |
| 1063462190 | Ricardo Enrique Jimenez | Pathology | 3637 Mission Ave, Bldg A Ste 3, Carmichael, CA 95608-2946 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538776042 | Amari Home Health Care Inc. | Home Health | 6722 Fair Oaks Blvd., Suite 203, Carmichael, CA 95608 | 2020-09-29 |
| 1891333621 | Sonya Michelle Hernandez | Durable Medical Equipment & Medical Supplies | 5110 Ramona Vista Way, Carmichael, CA 95608 | 2019-12-11 |
| 1922640903 | Sacramento County Office of Education | Clinic/Center | Barrett Middle School/san Juan Unified School District, 4243 Barrett Road, School Counseling Office, Carmichael, CA 95608 | 2019-10-11 |
| 1558868927 | Gps Physician Group of California PC | Internal Medicine | American River Center, 3900 Garfield Ave, Carmichael, CA 95608 | 2018-04-11 |
| 1124534920 | Svitlana Plaschke | Nurse Practitioner | 5740 Windmill Way Ste 5, Carmichael, CA 95608 | 2017-12-17 |
| 1144770256 | Sacramento Foot and Ankle Center, Inc | Podiatrist | 5120 Manzanita Ave, Suite 100, Carmichael, CA 95608 | 2016-10-12 |
| 1457725202 | Sarah Beshay | Pharmacist | 4960 Heatherdale Ln, Carmichael, CA 95608 | 2015-11-17 |
| 1568835981 | Shivam Nand | Dentist | 2447 Mission Ave Ste B, Carmichael, CA 95608 | 2015-11-06 |
| 1487063434 | Alejandro Saropdas Mendoza | Pathology | Mercy San Juan Medical Center, 6501 Coyle Avenue, Carmichael, CA 95608 | 2014-08-04 |
| 1689014243 | Atkinson Youth Services, Inc. | Community/Behavioral Health | 4718 Engle Road, Carmichael, CA 95608 | 2013-06-27 |
| Find all providers in zip 95608 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684414 | Krista Jean Roberts | Student in an Organized Health Care Education/Training Program | 1809 Parliament Cir, Carmichael, CA 95608-5725 | 2020-03-21 |
| 1538677034 | Emi Calvo | Student in an Organized Health Care Education/Training Program | 6320 Meadowvista Dr, Carmichael, CA 95608-0975 | 2018-01-18 |
| 1912114372 | Modar Marei Samara | Student in an Organized Health Care Education/Training Program | 7000 Fair Oaks Blvd Apt 124, Carmichael, CA 95608-3353 | 2007-05-16 |
| 1952842890 | Arista May | Student in an Organized Health Care Education/Training Program | 2540 Carmichael Way, Carmichael, CA 95608-5314 | 2017-03-11 |
| 1235521238 | Carla Dawson | Student in an Organized Health Care Education/Training Program | 6147 Sutter Ave, Carmichael, CA 95608-2738 | 2015-02-27 |
| 1013179126 | Mingqing Li | Student in an Organized Health Care Education/Training Program | 6555 Coyle Ave Ste 301, Carmichael, CA 95608-0303 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679741 | Krista Lapidario | Student in an Organized Health Care Education/Training Program | 18602 Kings Row Ave, Cerritos, CA 90703-8048 | 2020-11-04 |
| 1548861818 | Masara Issa | Student in an Organized Health Care Education/Training Program | 2261 Runabout Pl, El Cajon, CA 92019-4250 | 2020-11-03 |
| 1245830736 | Khalid Bey | Student in an Organized Health Care Education/Training Program | 1st Dnbn Attn: Credentials 555221, Camp Pendleton, CA 92055-5221 | 2020-10-26 |
| 1538768221 | Judith Guarneros | Student in an Organized Health Care Education/Training Program | 47 Rogers Rd, Kernville, CA 93238-6021 | 2020-10-22 |
| 1174122048 | Vivian M. Arredondo | Student in an Organized Health Care Education/Training Program | 22656 Lark St, Grand Terrace, CA 92313-5714 | 2020-10-22 |
| 1861091621 | Kristen N Brauchler | Student in an Organized Health Care Education/Training Program | 2098 Cabot Ave, Merced, CA 95348-4023 | 2020-10-22 |
| 1215536206 | Marissa Burton | Student in an Organized Health Care Education/Training Program | 1759 Queenstown Dr, San Jose, CA 95132-1755 | 2020-10-21 |
| 1447859533 | Brooke Edelson | Student in an Organized Health Care Education/Training Program | 21 Waverley Ct Apt 4, Menlo Park, CA 94025-3551 | 2020-10-20 |
| 1891394987 | Shannon Shen | Student in an Organized Health Care Education/Training Program | 190 Ryland St Apt 3422, San Jose, CA 95110-2295 | 2020-10-20 |
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| Find all providers with the same taxonomy | ||||
| City | CARMICHAEL |
| Zip Code | 95608 |
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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.