Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jasmine Kassandra Mata

Individual provider Community Health Worker · NPI 1205716701

Jasmine Kassandra Mata is a Community Health Worker in Riverside, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

2085 Rustin Ave Ste 1
Riverside, CA 92507-2498
Phone: (951) 955-7320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205716701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2025
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address2085 Rustin Ave Ste 1, Riverside, CA 92507-2498

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