Jason Bombales Lasala
NP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp
1225 W 190th St Ste 280, Gardena
California, 90248-4305
310-515-8113
Jason Bombales Lasala is a Gardena, California based nurse practitioner with 4 years of experience in Psych/Mental Health. He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jason Bombales Lasala is 95018499 for Psych/Mental Health in California. His current practice location is 1225 W 190th St Ste 280, Gardena. Patients can reach him at 310-515-8113 or can fax him at 310-538-2102. Jason Bombales Lasala is NP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1821744178.
Jason Bombales Lasala provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jason Bombales Lasala speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jason Bombales Lasala |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | NP |
| Experience: | 4+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2021 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1225 W 190th St Ste 280, Gardena,
California, 90248-4305 |
| Phone: | 310-515-8113 |
| Fax: | 310-538-2102 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3375921323 |
| Enrollment ID: | I20220602001742 |
| NPI Number: | 1821744178 |
| NPI Enumeration Date: | 25 Feb, 2022 |
| NPI Last Update On: | 19 Jul, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason Bombales Lasala are as mentioned below.
| License Number | Specialization | State | Status | |
| 95018499 | Psych/Mental Health | California | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jason Bombales Lasala is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Ehab Yacoub Md Inc. (5092099523) | 42 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jason Bombales Lasala
1225 W 190th St Ste 280,
Gardena, California |
| Zip: | 90248-4305 |
| Phone Number: | 310-515-8113 |
| Fax Number: | 310-538-2102 |
Patients can reach Jason Bombales Lasala at
1225 W 190th St Ste 280, Gardena, California or can
call to book an appointment on 310-515-8113.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.