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NPI 1083453021ActiveOrganization· Supports Brokerage· San Jose, CA
Supports Brokerage in San Jose, California, registered in NPPES in May 2024. The authorized official on file is Jaysoncristian Ramos Mejarito, Sr. Project Management Director.
Overview
| NPI | 1083453021 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 20, 2024 |
| Last updated in NPPES | May 20, 2024 |
| Certified by provider | May 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Supports Brokerage Primary | 251X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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