IndividualActive
Jasmine Sourivong
NPI 1215655311 · Specialist · Stockton, CA
Jasmine Sourivong is a Specialist provider in Stockton, CA (NPI 1215655311).
Provider details
- NPI number
- 1215655311
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2185 W Rose St
Stockton, CA 95203-1208
Phone: (510) 593-1835
Street-level locationGet directions
Mailing address
7200 Bancroft Ave Ste 267
Oakland, CA 94605-2403
Registry dates
- Enumerated
- 2022-08-16
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Jasmine Sourivong's NPI number?
- Jasmine Sourivong's National Provider Identifier (NPI) is 1215655311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jasmine Sourivong's specialty?
- Jasmine Sourivong is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jasmine Sourivong located?
- Jasmine Sourivong's practice location on file with NPPES is 2185 W Rose St, Stockton, CA 95203-1208.
- What is Jasmine Sourivong's phone number?
- The practice phone number listed in the NPPES registry for Jasmine Sourivong is (510) 593-1835.
- Is Jasmine Sourivong's NPI active?
- Yes — Jasmine Sourivong's NPI (1215655311) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.