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

Jason Bombales Lasala, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821744178

Jason Bombales Lasala, NP is a Nurse Practitioner in Gardena, California. Qualified in 2021, 5 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (310) 515-8113
Fax: (310) 538-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 438 W Las Tunas Dr, San Gabriel, CA 91776-1216 — (626) 289-5454

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95018499 (CA)

Record details

NPI number1821744178
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gardena