JEREMIAH EDWARDS (NPI# 1124462734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124462734 |
| Entity Type | Individual |
| Full Name | JEREMIAH EDWARDS |
| Credential | LPT |
| Practice Address |
3881 S Western Ave 2500 Wilshire Blvd Suite 500 Los Angeles CA 90062-1105 |
| Mailing Address |
1601 S Garey Ave Spc 61 Pomona CA 91766-5260 |
| Practice Telephone | 2136390251 |
| Practice Fax Number | 2133897358 |
| Mailing Telephone | 9092727989 |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2013-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 36785 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699271114 | Jeremiah James Edwards | Registered Nurse | 425 Robinson St, Binghamton, NY 13904-1735 | 2018-04-03 |
| Street Address |
3881 S WESTERN AVE 2500 WILSHIRE BLVD SUITE 500 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90062-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508905167 | Galen M Babb | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2007-02-06 |
| 1720694987 | Munju Anna Chung | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2020-09-22 |
| 1326663634 | Tre' Jor La'nae Hyde | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2020-06-11 |
| 1174145577 | Cereina Diana,aniece Hawkins | Licensed Vocational Nurse | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2020-05-08 |
| 1043850308 | Oluwadamilola Akinyelure | Case Manager/Care Coordinator | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2020-01-14 |
| 1881237303 | Emily Gann | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2019-10-28 |
| 1679129415 | Shaydra Torres | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2019-08-16 |
| 1558829044 | Keeley Marie Ahearn | Counselor | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2019-03-04 |
| 1134695356 | Gabriela Casillas Liceaga | Case Manager/Care Coordinator | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2018-10-15 |
| 1144704750 | Jaime Jose Mendoza | Case Manager/Care Coordinator | 3881 S Western Ave, Los Angeles, CA 90062-1105 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| 1083194773 | Day One Detox Center, Inc | Substance Abuse Rehabilitation Facility | 1421 W 46th St, Los Angeles, CA 90062 | 2018-08-21 |
| 1457863706 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1537 W 49th St, Los Angeles, CA 90062 | 2017-10-26 |
| 1639680259 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1762 W 42nd St, Los Angeles, CA 90062 | 2017-10-23 |
| 1033535794 | Trusana Monique Hall | Licensed Vocational Nurse | 4103 S. Halldale Ave, Los Angeles, CA 90062 | 2014-03-05 |
| 1093139644 | Daniel Garcia | Rehabilitation Practitioner | 3381 Western Ave., Los Angeles, CA 90062 | 2014-02-18 |
| 1689003790 | Crystal Vernon | Case Manager/Care Coordinator | 3881 S. Western Avenue, Los Angeles, CA 90062 | 2013-11-08 |
| 1184902934 | Gerry Lynn Lockhart | Case Manager/Care Coordinator | 3881 S Western Avenue, Los Angeles, CA 90062 | 2011-07-28 |
| 1285921692 | Atlantic Recovery Services | Community/Behavioral Health | 1701 Browning Street, Los Angeles, CA 90062 | 2011-07-06 |
| 1174796452 | Tacora Leggett | Counselor | 5311 S Western Avenue, Los Angeles, CA 90062 | 2008-04-08 |
| Find all providers in zip 90062 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1548776404 | Destiny Ann Galvan | Licensed Psychiatric Technician | 679 New Hamshire Ave, Los Angeles, CA 90005 | 2017-12-14 |
| 1255716098 | Grace Junko Gerardo | Licensed Psychiatric Technician | 226 S. Ave. 52, Los Angeles, CA 90042-4504 | 2015-07-22 |
| 1457786147 | Griselda Flores | Licensed Psychiatric Technician | 2600 Wilshire Blvd, Los Angeles, CA 90057-3400 | 2013-09-12 |
| 1427104728 | Leslie Michelle Blakeney | Licensed Psychiatric Technician | 529 S Maple Ave., Los Angeles, CA 90013 | 2007-01-27 |
| 1467064717 | Jessica Vazquez | Licensed Psychiatric Technician | 679 S New Hampshire Ave Ste 400, Los Angeles, CA 90005-1355 | 2020-08-18 |
| 1558996512 | Yvonne Elisa Molina | Licensed Psychiatric Technician | 470 E 3rd St Ste C, Los Angeles, CA 90013-1630 | 2020-03-10 |
| 1407403439 | Leanna Lynn Ramirez | Licensed Psychiatric Technician | 1711 W Temple St, Los Angeles, CA 90026-5421 | 2019-08-23 |
| 1992357404 | Bernadette Chavez | Licensed Psychiatric Technician | 5201 S Vermont Ave, Los Angeles, CA 90037-3527 | 2019-07-15 |
| 1366000556 | Tyler Shirk | Licensed Psychiatric Technician | 600 St Paul Ave Ste 200, Los Angeles, CA 90017-5686 | 2019-06-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90062 |
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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.