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JASMIN MELCHOR COLANSONG
NPI 1184440752
Nurse Practitioner - Family in Rancho Cucamonga, CA

Active since November 28, 2024PECOS Enrolled
10565 CIVIC CENTER DR BLDG STE 165, RANCHO CUCAMONGA, CA 91730(909) 985-2211(909) 985-2244 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Jasmin Melchor Colansong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMIN MELCHOR COLANSONG (NPI 1184440752) is an individual family provider in Rancho Cucamonga, California, licensed in California (95031252) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rancho Cucamonga, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184440752
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMIN MELCHOR COLANSONG
Location Address10565 CIVIC CENTER DR BLDG STE 165Rancho Cucamonga, CA 91730-3853
Mailing Address10565 Civic Center Dr Ste 250Rancho Cucamonga, CA 91730-3854 · (626) 696-1471 · Fax (626) 696-1451
Phone(909) 985-2211
Fax(909) 985-2244
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 28, 2024
Last NPPES UpdateMarch 16, 20252 updates tracked since enumeration
NPPES CertifiedMarch 16, 2025
✔ NPI 1184440752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95031252
10565 CIVIC CENTER DR BLDG STE 165, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Secondary Practice Location 1

Location 111050 Momentum DrRancho Cucamonga, CA 91730-0987 · Phone (860) 518-3689

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmin Melchor Colansong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133630338
PECOS Enrollment IDI20250616001111
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NADER SAWIRIS M.D.
Pain Medicine (Pain Medicine)
10565 CIVIC CENTER DR BLDG STE 165
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 985-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmin Colansong's NPI number?

The NPI number for Jasmin Colansong is 1184440752. It was assigned to this individual provider in the NPPES registry on November 28, 2024.

Where is Jasmin Colansong located?

Jasmin Colansong practices at 10565 Civic Center Dr Bldg Ste 165, Rancho Cucamonga, CA 91730. The listed phone number is (909) 985-2211.

What is Jasmin Colansong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jasmin Colansong enrolled in Medicare?

Yes. Jasmin Colansong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasmin Colansong was last updated on March 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.