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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JASMINE KASSANDRA MATA
NPI 1205716701
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since September 04, 2025
1403 N GAREY AVE, POMONA, CA 91767(909) 242-7600 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 9, 2026, Apr 2, 2026, Sep 4, 2025 (3 updates tracked since 2025).

About Jasmine Kassandra Mata NPPES

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

JASMINE KASSANDRA MATA (NPI 1205716701) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1205716701
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJASMINE KASSANDRA MATA
Location Address1403 N GAREY AVEPomona, CA 91767-3809
Mailing Address1403 N Garey AvePomona, CA 91767-3809 · (909) 242-7600
Phone(909) 242-7600
Sole ProprietorYes
Enumeration DateSeptember 4, 2025
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1205716701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1403 N GAREY AVE, Pomona, CA 91767
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

ELIZABETH FAJARDO
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 242-7600
SANDRA PRECIADO IGLESIAS
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 242-7600
VANESSA DO
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 242-7600
JESSICA CEBALLOS CAMPBELL
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 242-7600
INGRID V GONZALEZ
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (909) 242-7600
STEPHANIE ALVAREZ-BIZARRON
Student in an Organized Health Care Education/Training Program
1403 N GAREY AVE
POMONA, CA 91767
Los Angeles County (323) 972-6280

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 Jasmine Mata's NPI number?

The NPI number for Jasmine Mata is 1205716701. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Jasmine Mata located?

Jasmine Mata practices at 1403 N Garey Ave, Pomona, CA 91767. The listed phone number is (909) 242-7600.

What is Jasmine Mata's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jasmine Mata was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.