Jasper Adversalo
Student in an Organized Health Care Education/Training Program in San Diego, California
1891673216- Practice location
- 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850
- Phone
- 619-398-0355
- Fax
- —
- Last updated
- July 24, 2026
Jasper Adversalo is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Jasper Adversalo practices in San Diego, CA. The NPI Number for Jasper Adversalo is 1891673216. The current practice location address for Jasper Adversalo is 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 and can be reached out via phone at 619-398-0355.
Provider Profile Details
- NPI Number
- 1891673216
- Provider Name
- Jasper Adversalo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850
- Phone Number
- 619-398-0355
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Other Names
- Mark Hageman (Former Name)
- Provider Enumeration Date
- August 25, 2025
- Last Update Date
- July 24, 2026
- Certification Date
- July 24, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Morena Blvd Ste 100
San Diego, CA 92110-3850 - City
- San Diego
- State
- California
- Zip
- 92110-3850
- Phone Number
- 619-398-0355
Provider Business Mailing Address Details
- Address
- 995 Gateway Center Way Ste 101
San Diego, CA 92102-4550 - City
- San Diego
- State
- CA
- Zip
- 92102-4550
- Phone Number
- 619-772-2579
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jasper Adversalo?
The NPI number of Jasper Adversalo is 1891673216. It was assigned on August 25, 2025 and is currently active in the NPPES registry.
What is the specialty of Jasper Adversalo?
Jasper Adversalo is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Jasper Adversalo practice?
The practice location is 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850. The office can be reached at 619-398-0355 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891673216 directly on the NPPES registry website.