Provider Demographics
NPI:1255123634
Name:SADROLASHRAFI, JASMINE YASAMAN (PA-C)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:YASAMAN
Last Name:SADROLASHRAFI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 ALISTER AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-0913
Mailing Address - Country:US
Mailing Address - Phone:650-933-2776
Mailing Address - Fax:
Practice Address - Street 1:23141 MOULTON PKWY STE 202
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1241
Practice Address - Country:US
Practice Address - Phone:949-600-6334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant