MR. JEFFREY WHITE (NPI# 1003261447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003261447 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY WHITE |
| Practice Address |
2180 Johnson Ave San Luis Obispo CA 93401-4558 |
| Practice Telephone | 8057811295 |
| Mailing Telephone | 8057811295 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669694733 | Jeffrey Neil White | Social Worker | 15 Lincoln St # 272, Wakefield, MA 01880-3001 | 2007-05-02 |
| 1538213103 | Jeffrey Gordon White | Social Worker | 8036 Moorsbridge Rd, Suite 2, Portage, MI 49024-4419 | 2007-01-22 |
| 1427115195 | Jeffrey Wheeler White | Marriage & Family Therapist | 4124 Oak Lawn Ave, Dallas, TX 75219-3136 | 2007-01-02 |
| 1104995570 | Jeffrey Wade White | Optometrist | 715 N Irwin St, Hanford, CA 93230-3813 | 2006-11-07 |
| 1841200474 | Jeffrey S White | Chiropractor | 281 Hospital Drive, Tappahannock, VA 22560 | 2006-08-08 |
| 1619985207 | Jeffrey S. White | Chiropractor | 311 N High St, Suite B, Longview, TX 75601-6336 | 2006-08-03 |
| 1093761785 | Jeffrey L White | Family Medicine | 1240 Big Jack Rd, Platteville, WI 53818-8902 | 2006-05-25 |
| 1245221563 | Jeffrey Jason White | Ophthalmology | 2170 Midland Rd, Southern Pines, NC 28387-2927 | 2005-11-04 |
| 1861988628 | Jeffrey White | Military Health Care Provider | 3401 Farenholt Ave, San Diego, CA 92134-0001 | 2018-07-05 |
| 1174043657 | Jeffrey Lee White | Dentist | 5680 Calle Real, Goleta, CA 93117-2317 | 2017-06-26 |
| Street Address |
2180 JOHNSON AVE |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366463879 | Robert D Henretig | Radiology | 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401-4513 | 2006-07-21 |
| 1043819352 | Douglas Gregory Elterman | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-10-19 |
| 1265045439 | Mai Timberlake | Student in an Organized Health Care Education/Training Program | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-27 |
| 1427669787 | Christie Terese Castro | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-08-11 |
| 1538792452 | Robyn Michelle Taylor | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-19 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1962046359 | Emilie M Crist | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-29 |
| 1841833027 | Melanie Ruth Vann | Social Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-21 |
| 1548802622 | Christina Lynn Rivera | Case Manager/Care Coordinator | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-10-10 |
| 1265087035 | Amber Deem | Community Health Worker | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477087518 | Kelly Love Meyer | Counselor | 2801 Johnson Ave, San Luis Obispo, CA 93401-5864 | 2017-04-15 |
| 1023431087 | Pamela Westphal | Counselor | 2494 Pennington Creek Road, San Luis Obispo, CA 93401-7222 | 2014-01-28 |
| 1043414774 | Frank Anthony Warren | Counselor | 2945 Mcmillan Ave Ste 136, San Luis Obispo, CA 93401-6774 | 2007-06-14 |
| 1144357054 | Kirk Ernest Estes | Counselor | 285 South St, Suite M, San Luis Obispo, CA 93401-5037 | 2007-02-27 |
| 1508993684 | Michelle Lynn Lynch | Counselor | 285 South St., Suite M, San Luis Obispo, CA 93401 | 2007-02-27 |
| 1003448754 | Jene Nicole Hinton-railsback | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2020-02-11 |
| 1326522335 | Hobert Gabuat | Counselor | 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA 93401-6771 | 2018-09-17 |
| 1750873600 | Austin Martin Lee | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-06-05 |
| 1760987556 | Paloma Hernandez Basulto | Counselor | 2180 Johnson Ave, San Luis Obispo, CA 93401-4558 | 2018-03-26 |
| 1841793874 | Sheena Anne Jones | Counselor | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2018-03-15 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on MR. JEFFREY WHITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.