Healthcare Provider Details

I. General information

NPI: 1063050276
Provider Name (Legal Business Name): JOCELYN V. SAZON MSN RN NI-BC TCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SYLVESTER RD
SAN DIEGO CA
92106-3521
US

IV. Provider business mailing address

140 SYLVESTER RD
SAN DIEGO CA
92106-3521
US

V. Phone/Fax

Practice location:
  • Phone: 619-767-4774
  • Fax:
Mailing address:
  • Phone: 619-553-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SI0800X
TaxonomyInformatics Clinical Nurse Specialist
License Number717331
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number717331
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: