Jasmine Waltz, is a
Marriage & Family Therapist based in Santa Ana, California. Jasmine Waltz is licensed to practice in California (license number 64453) and her current practice location is
1725 W 17th St Ste 101-b, Santa Ana, California. She can be reached at her office (for appointments etc.) via phone at
(714) 834-8584.
NPI number for Jasmine Waltz is 1265765895 and her current mailing address is 1725 W 17th St Ste 101-b, Santa Ana, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265765895.
Healthcare Provider's Profile
Full Name | Jasmine Waltz |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1725 W 17th St Ste 101-b, Santa Ana, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265765895
- Provider Enumeration Date: 09/15/2009
- Last Update Date: 03/13/2013
Medical Identifiers
Medical identifiers for Jasmine Waltz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265765895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 64453 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmine Waltz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasmine Waltz, 1725 W 17th St Ste 101-b, Santa Ana, CA 92706-2316 Ph: (714) 834-8584 | Jasmine Waltz, 1725 W 17th St Ste 101-b, Santa Ana, CA 92706-2316 Ph: (714) 834-8584 |
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