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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063061901 | Jerry Brown | Technician | 429 Cr 1448, Quitman, TX 75783 | 2019-09-04 |
1851476071 | Jerry Michael Brown | Dentist | 19 West 44th Street, Ste 400, New York, NY 10036 | 2006-10-26 |
1265545412 | Jerry W Brown | Optometrist | 1390 Highway F, Waynesville, MO 65583 | 2006-08-15 |
1861408296 | Jerry L. Brown | Anesthesiology | 1 Freedom Way # 222, Vamc Augusta, Augusta, GA 30904-6258 | 2006-07-31 |
1780609040 | Jerry Lee Brown | Dentist | 181 E 1st Ave, Colville, WA 99114-2801 | 2006-07-13 |
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 |
1467591289 | Jerry W Brown | Counselor | 6300 Riverside Plaza Ln Nw, Suite 100, Albuquerque, NM 87120-2617 | 2007-02-06 |
Street Address |
12021 WILMINGTON AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90059-3019 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 90059 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023390606 | Emily Elizabeth Talmich | Physician Assistant | 1450 San Pablo St # 6200, Los Angeles, CA 90033-5331 | 2011-09-09 |
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 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90059 |
Please comment or provide details below to improve the information on MR. JERRY LAMONT BROWN.
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.