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NPI 1275172579ActiveOrganization· Early Intervention Provider Agency· Pomona, CA
Early Intervention Provider Agency in Pomona, California, registered in NPPES in January 2020. The authorized official on file is Jazmine Blackman, M.A., Co-Owner/Director.
Overview
| NPI | 1275172579 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 3, 2020 |
| Last updated in NPPES | Jan 3, 2020 |
| Certified by provider | Jan 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Early Intervention Provider Agency Primary | 252Y00000X | — | — |
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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