MR. JERRY LAMONT BROWN


Address: 12021 Wilmington Ave, Los Angeles, CA 90059-3019
Phone: 3106684287

MR. JERRY LAMONT BROWN (NPI# 1497895049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497895049
Entity Type Individual
Full Name MR. JERRY LAMONT BROWN
Credential PHYSICIAN ASSISTANT
Practice Address 12021 Wilmington Ave
Los Angeles
CA 90059-3019
Mailing Address 14103 S Evers Ave
Compton
CA 90222-3707
Practice Telephone 3106684287
Mailing Telephone 3108636692
Enumeration Date 2007-02-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1037115 CA Physician Assistants & Advanced Practice Nursing Providers

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1881637478 Jerry Micheal Brown Sr. Social Worker 48 Wigwam Dr, Pulaski, NY 13142-2269 2006-06-13
1023008943 Jerry M Brown Radiology 507 Rocky Top Dr, Columbia, TN 38401-2563 2005-10-21
1932523636 Jerry Brown Counselor 335 N Alma School Rd, Suite E, Chandler, AZ 85224-4363 2014-02-15
1962628438 Jerry Vernal Brown Dentist 588 E Main St, Lehi, UT 84043-2246 2007-04-17
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Office Location

Street Address 12021 WILMINGTON AVE
City LOS ANGELES
State CA
Zip Code 90059-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750351300 Gangadarshni Chandramohan Pediatrics 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2006-01-25
1639704323 Martin Luther King Jr Community Medical Group-wilmington Ave Case Manager/Care Coordinator 12021 Wilmington Ave, Building 11, Suite 1000, Los Angeles, CA 90059 2020-03-03
1114418928 Exodus Recovery, Inc. Community/Behavioral Health 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2018-05-29
1043759855 Los Angeles County Department of Mental Health Clinic/Center 12021 Wilmington Ave, Los Angeles, CA 90059 2017-02-14
1053855064 Maria Casarez-romero Rehabilitation Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-09
1295279453 Kelsey Collins Marriage & Family Therapist 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-12-07
1639628035 Stella Cuomo Student in an Organized Health Care Education/Training Program 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-09-26
1821443995 Patanya Matthews Counselor 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-04-26
1043677289 Kita Stovall Nurse Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059 2016-01-19
1417314741 Noele Le Flore Nurse Practitioner 12021 Wilmington Ave, Los Angeles, CA 90059-3019 2016-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1891089892 Claudia G Pierola Physician Assistant 12311 Pacific Ave Apt 5, Los Angeles, CA 90066-4421 2011-06-07
1124280987 Sue Kim Physician Assistant 9201 W Sunset Blvd Ste 404, Los Angeles, CA 90069-3705 2008-07-01
1699948596 Christopher Tatum Physician Assistant 637 S Lucas Ave, Fl 1, Los Angeles, CA 90017 2008-04-11
1194848457 Sebastian Fuentes Physician Assistant 2200 W 3rd St Ste 300, Los Angeles, CA 90057-1936 2007-04-09
1245396092 Patricia Delcarmen Jimenez Physician Assistant 1718 Hollyvista Ave, Los Angeles, CA 90027-4626 2006-12-28
1063078897 Laura Monica Manosalva Vargas Physician Assistant 11301 Wilshire Blvd, Bldg.500, Nsgy Suite 6664, Los Angeles, CA 90073 2019-05-16
1548736903 Jocelyn Choy Physician Assistant 1245 Wilshire Blvd, Los Angeles, CA 90017-4810 2018-10-23
1457839649 Kareem Sharaf Physician Assistant 757 Westwood Plz, Los Angeles, CA 90095-8358 2018-07-31
1689166787 Lennie Thanh Ho Ngo Physician Assistant 1225 Wilshire Blvd, Los Angeles, CA 90017 2018-06-04
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Competitor

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City LOS ANGELES
Zip Code 90059

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Dataset Information

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.

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