JEREMIAH DO (NPI# 1043793326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043793326 |
| Entity Type | Individual |
| Full Name | JEREMIAH DO |
| Credential | RN |
| Practice Address |
14112 S Kingsley Dr Gardena CA 90249-3018 |
| Practice Telephone | 3102177312 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95038574 | CA | Nursing Service Providers |
| Street Address |
14112 S KINGSLEY DR |
| City | GARDENA |
| State | CA |
| Zip Code | 90249-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376576900 | Los Angeles County Department of Mental Health | Clinic/Center | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2006-07-08 |
| 1174041586 | Tina Nguyen | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-09-06 |
| 1871029413 | Mary Ndungu Mabuoch | Case Manager/Care Coordinator | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-05-02 |
| 1487190716 | Khin Thu | Case Manager/Care Coordinator | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2017-01-10 |
| 1346797388 | Gi Hyun Yun | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-09-07 |
| 1275080210 | Eusun Jeong | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-09-07 |
| 1578019980 | Kee Jung Eom | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-08-27 |
| 1447609169 | Andrea Aguilar | Social Worker | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-06-03 |
| 1700244886 | Melita Nicole Evans | Counselor | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2016-02-04 |
| 1104294529 | Judy Chung | Student in an Organized Health Care Education/Training Program | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518085 | Jin Taek Limb | Chiropractor | 2911 W 135th Pl, Gardena, CA 90249 | 2017-06-20 |
| 1083084651 | Charde Antoinette | Home Health | 2923 W 138th, Gardena, CA 90249 | 2015-09-25 |
| 1316330145 | Lupita Martinez | Marriage & Family Therapist | 15120 Atkinson Ave Ste 7, Gardena, CA 90249 | 2015-03-18 |
| 1699100487 | Asian American Drug Abuse Program, Inc | Community/Behavioral Health | 14112 S. Kingsley Dr., Gardena, CA 90249 | 2013-09-11 |
| 1992142327 | Vin'ash Coaching, LLC | Private Vehicle | 3163 W 154th Place, Gardena, CA 90249 | 2013-05-24 |
| 1811287048 | Best-option Home Health Agency Inc. | Home Health | 15223 S Crenshaw Blvd Suite A, Gardena, CA 90249 | 2011-04-08 |
| 1356644439 | Ameripride Ambulance Service, Inc. | Ambulance | 13509 South Raymond Avenue, Gardena, CA 90249 | 2010-12-13 |
| 1164732327 | Ctc Healthcare Services Inc | In Home Supportive Care | 13108 Arcturus Avenue, Gardena, CA 90249 | 2010-10-20 |
| 1407170996 | Marl Soon Chung | Dentist | 15622 S. Crenshaw Blvd #b, Gardena, CA 90249 | 2010-03-26 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| Find all providers in zip 90249 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922422856 | Fidelis Nwaki | Registered Nurse | 15603 S Stulman Ave, Gardena, CA 90248-2340 | 2014-02-12 |
| 1881006674 | Randy Blake | Registered Nurse | 14112 S Kingsley Dr, Gardena, CA 90249-3018 | 2014-05-28 |
| 1629302948 | Etna L Gonzalez | Registered Nurse | 1300 W 155th St, Suite 103, Gardena, CA 90247-4048 | 2009-09-21 |
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| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
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| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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| 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.