Provider Demographics
NPI:1841278967
Name:JUMAO-AS, ASELA P (MD)
Entity type:Individual
Prefix:
First Name:ASELA
Middle Name:P
Last Name:JUMAO-AS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 21687
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1687
Mailing Address - Country:US
Mailing Address - Phone:760-221-4380
Mailing Address - Fax:855-898-4142
Practice Address - Street 1:7400 DISTRICT BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-4817
Practice Address - Country:US
Practice Address - Phone:661-847-9773
Practice Address - Fax:661-847-9776
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC433742084N0400X
CAC-43374208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C433740Medicaid
B41575Medicare UPIN
CA00C433740Medicaid