Healthcare Provider Details

I. General information

NPI: 1750994315
Provider Name (Legal Business Name): JAZMIN SANCHEZ CAMPOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5758 W LAS POSITAS BLVD
PLEASANTON CA
94588-4083
US

IV. Provider business mailing address

128 MISSION DR
PLEASANTON CA
94566-7680
US

V. Phone/Fax

Practice location:
  • Phone: 925-872-9603
  • Fax:
Mailing address:
  • Phone: 309-433-3996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: