JASPER ADVERSALO
NPI 1891673216
Student in an Organized Health Care Education/Training Program in San Diego, CA
About Jasper Adversalo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASPER ADVERSALO (NPI 1891673216) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
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 Jasper Adversalo's NPI number?
The NPI number for Jasper Adversalo is 1891673216. It was assigned to this individual provider in the NPPES registry on August 25, 2025. The provider is also known as Mark Hageman.
Where is Jasper Adversalo located?
Jasper Adversalo practices at 1260 Morena Blvd Ste 100, San Diego, CA 92110. The listed phone number is (619) 398-0355.
What is Jasper Adversalo'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 Jasper Adversalo was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Jasper Adversalo · NPI 1891673216
Student in an Organized Health Care Education/Training Program provider in San Diego, California. Individual provider, active in the CMS NPPES registry since August 25, 2025.
## Identity
- **NPI:** 1891673216 (Entity type: Individual)
- **Enumerated:** August 25, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1260 MORENA BLVD STE 100, San Diego, CA 92110-3850
- **Phone:** (619) 398-0355
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1891673216) · Data from the CMS NPPES public registry.