Provider Demographics
NPI:1871699496
Name:BIOL, JASMINE RARANG (MD)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:RARANG
Last Name:BIOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:RARANG
Other - Last Name:SAMPANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11382 N VIA MONTESSORI DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-8833
Mailing Address - Country:US
Mailing Address - Phone:661-330-0685
Mailing Address - Fax:
Practice Address - Street 1:2651 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:CA
Practice Address - Zip Code:93662-3392
Practice Address - Country:US
Practice Address - Phone:559-898-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93556207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A935560Medicaid
CAWA93556AMedicare PIN