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: October 25, 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 and maintains a secondary practice location in Rancho Cucamonga.

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
Fax(909) 985-2244
Sole ProprietorYes
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Jasmin Colansong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain Medicine
10565 CIVIC CENTER DRIVE, WEST BLDG STE 165
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 109 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pain Medicine (Pain Medicine)
10565 CIVIC CENTER DR BLDG STE 165
RANCHO CUCAMONGA, CA 91730

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.

Which organization bills Medicare for Jasmin Colansong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmin Colansong reassigns Medicare benefits to Algos Inc., A Medical Corporation (Rancho Cucamonga, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasmin Colansong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.