JACK EVERETT DOWNHILL JR. (NPI# 1467522813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467522813 |
| Entity Type | Individual |
| Full Name | JACK EVERETT DOWNHILL JR. |
| Credential | MD |
| Practice Address |
3031 S Denison Ave San Pedro CA 90731-6703 |
| Mailing Address |
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011 |
| Practice Telephone | 3233793611 |
| Mailing Telephone | 5034946176 |
| Mailing Fax Number | 5034946152 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
A50066 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD180816 | OR | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
198053 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034946176 | 5014946152 |
| Nsuh-dept of Psychiatry, 300 Community Drive, Manhasset, NY 11030 | 5165623051 |
| Street Address |
3031 S DENISON AVE |
| City | SAN PEDRO |
| State | CA |
| Zip Code | 90731-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093454 | Spark Physician Assistant Services, Inc. | Psychiatry & Neurology | 3031 S Denison Ave, San Pedro, CA 90731-6703 | 2020-08-14 |
| 1871866848 | Christina Marina Ribao | Physician Assistant | 3031 S Denison Ave, San Pedro, CA 90731-6703 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1518513183 | Churairat Maffei | Technician | 1305 S Patton Ave, San Pedro, CA 90731 | 2019-08-09 |
| 1326692898 | Lori Marie Kroeker | Counselor | 235 W. 9th St, San Pedro, CA 90731 | 2019-08-01 |
| 1366960783 | Maria Elena Newcomer Dds Inc | Dentist | 847 W. 9th St., San Pedro, CA 90731 | 2017-09-06 |
| 1255875944 | Raymond J Mazuchowski Jr. | Dentist | 697 S Gaffery St, San Pedro, CA 90731 | 2016-12-14 |
| 1700235108 | Redina J Williams | Counselor | 559 W, 9th Street, San Pedro, CA 90731 | 2016-06-07 |
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1134418882 | Neema Rukiya Hardeman | Pediatrics | 2400 S Pacific Ave Bldg 30, San Pedro, CA 90731 | 2011-04-04 |
| 1477878148 | Karla Vanesa Cehua | Dental Assistant | 423n. Meyler St., San Pedro, CA 90731 | 2010-04-06 |
| 1023258183 | Deborah Anne Allsup | Acupuncturist | 732 W. 9th Street, #202, San Pedro, CA 90731 | 2009-03-03 |
| Find all providers in zip 90731 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649697764 | Leilani M. Sharpe | Psychiatry & Neurology | 222 W 6th St Ste 400, San Pedro, CA 90731 | 2014-03-26 |
| 1730268293 | Frank Menefee Kline | Psychiatry & Neurology | Spcmhc, 150 West 7th. Street, San Pedro, CA 90731 | 2006-11-03 |
| 1922182682 | Mahmoud Ajang | Psychiatry & Neurology | 378 W 6th St, San Pedro, CA 90731 | 2006-10-25 |
| 1700987021 | Dennis Robert Coffee | Psychiatry & Neurology | 471 W 7th St, San Pedro, CA 90731-3207 | 2006-09-26 |
| 1760093454 | Spark Physician Assistant Services, Inc. | Psychiatry & Neurology | 3031 S Denison Ave, San Pedro, CA 90731-6703 | 2020-08-14 |
| 1881963080 | James S. Brust, M.d., Inc. | Psychiatry & Neurology | 2403 S Moray Ave, Suite #4, San Pedro, CA 90732-4342 | 2011-12-19 |
| 1346400819 | Mahmoud Ajang M.d., A Professional Medical Corporation | Psychiatry & Neurology | 378 W 6th St, San Pedro, CA 90731-3338 | 2008-06-10 |
| 1285834440 | Laron E. Phillips | Psychiatry & Neurology | 150 W 7th St, San Pedro, CA 90731-3320 | 2007-07-24 |
| 1134342041 | Milagros Ferrariz Demandante | Psychiatry & Neurology | 150 W 7th St, San Pedro, CA 90731-3320 | 2007-04-10 |
| 1427184571 | James Steven Brust | Psychiatry & Neurology | 2403 S Moray Ave, Suite 4, San Pedro, CA 90732-4342 | 2007-02-25 |
| Find all providers in SAN PEDRO | ||||
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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.