UDAI JAYAKUMAR (NPI# 1205085958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205085958 |
| Entity Type | Individual |
| Full Name | UDAI JAYAKUMAR |
| Credential | M.D. |
| Practice Address |
25825 Vermont Ave Harbor City CA 90710-3518 |
| Practice Telephone | 3105172982 |
| Mailing Telephone | 3105172982 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036.119307 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
C130571 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
25825 VERMONT AVE |
| City | HARBOR CITY |
| State | CA |
| Zip Code | 90710-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567178 | Jennifer Diane Armstrong | Internal Medicine | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2005-06-10 |
| 1972118263 | Mitos Rachel Roa Daling | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-09-13 |
| 1689285884 | Sarah Gong | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-08-11 |
| 1578172607 | Daisy Lee | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-07-24 |
| 1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
| 1801446208 | Pamela Barron-zambrano | Nurse Anesthetist, Certified Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-09-17 |
| 1760030076 | Tajmara Ismail | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-29 |
| 1518513423 | Alexa Ann Pepin | Dietitian, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-15 |
| 1184279119 | Martin Lavertu | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-06 |
| 1417515073 | Ulises Obregon | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
| 1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
| 1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
| 1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
| 1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
| 1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
| 1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
| 1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
| 1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
| 1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
| Find all providers in zip 90710 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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|---|---|---|---|---|
| 1437758596 | Odyssey Healthcare Operating A Lp | Internal Medicine | 2055 Gateway Pl Ste 600, San Jose, CA 95110-1083 | 2020-10-20 |
| 1851990907 | Odyssey Healthcare Operating A Lp | Internal Medicine | 9444 Balboa Ave Ste 290, San Diego, CA 92123-4901 | 2020-10-20 |
| 1700404852 | Envisage Palliative Care | Internal Medicine | 7369 Solstice Pl, Rancho Cucamonga, CA 91739-8769 | 2020-07-06 |
| 1528683398 | A-1 Healthcare Management | Internal Medicine | 5011 Argosy Ave Ste 4, Huntington Beach, CA 92649-1002 | 2020-06-08 |
| 1386275030 | Madrone Care Network LLC | Internal Medicine | 117 Brookline St, Moraga, CA 94556-1016 | 2020-01-31 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1043771678 | Linda Sara Blum | Internal Medicine | 2351 Clay St Ste 339, San Francisco, CA 94115-1931 | 2019-03-27 |
| 1710458245 | Enlightened Healthcare Alliance Medical Corporation | Internal Medicine | 662 Encinitas Blvd Ste 220, Encinitas, CA 92024-6791 | 2018-12-10 |
| 1245745009 | Haiven Hospice Inc | Internal Medicine | 1255 W Colton Ave Ste 564, Redlands, CA 92374-2861 | 2017-12-02 |
| 1174980452 | Aspire Health Medical Partners of California, PC | Internal Medicine | 117 E Colorado Blvd, Suite 600, Pasadena, CA 91105-1938 | 2016-01-18 |
| Find all providers with the same taxonomy | ||||
| City | HARBOR CITY |
| Zip Code | 90710 |
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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.