MS. JERRY MARTIN JR. (NPI# 1588853709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588853709 |
| Entity Type | Individual |
| Full Name | MS. JERRY MARTIN JR. |
| Practice Address |
2918 W Vernon Ave Los Angeles CA 90008-4757 |
| Practice Telephone | 3234978150 |
| Practice Fax Number | 3232925543 |
| Mailing Telephone | 3234978150 |
| Mailing Fax Number | 3232925543 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306229968 | Jerry Wayne Martin | Family Medicine | 2162 Nashville Road, Bowling Green, KY 42101-3849 | 2015-07-01 |
| 1821415571 | Jerry Nell Martin | Registered Nurse | 531 David W Ray Dr, Georgetown, SC 29440-6693 | 2014-03-19 |
| 1437240157 | Jerry H. Martin | Dentist | 4150 Douglas Blvd, # A, Granite Bay, CA 95746-5964 | 2006-09-27 |
| 1235239344 | Jerry D Martin | Dentist | 418 W. Monroe Ave., Chester, MT 59522-0516 | 2006-09-25 |
| 1992730832 | Jerry Wayne Martin | Family Medicine | 338 Gay Street, Suite A, Washington, VA 22747-0269 | 2006-07-11 |
| 1336112549 | Jerry L. Martin | Physician Assistant | 150 Page Rd, Robins Afb, GA 31098-1600 | 2006-02-08 |
| 1679543821 | Jerry Lee Martin | Optometrist | 1745 W Avenue K, Lancaster, CA 93534-6502 | 2006-01-23 |
| 1831184332 | Jerry K Martin Jr. | Obstetrics & Gynecology | 900 Earl Frye Blvd Ste A, Amory, MS 38821-5507 | 2005-09-12 |
| 1083064562 | Jerry Martin | Counselor | 4411 N Cedar Ave Ste 108, Fresno, CA 93726-2538 | 2016-06-15 |
| 1013172733 | Jerry Vann Martin | Emergency Medicine | 2500 Mowry Ave, Suite 212, Fremont, CA 94538-1605 | 2008-07-22 |
| Street Address |
2918 W VERNON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90008-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437362647 | A Home for Us Foundation Inc. | Rehabilitation, Substance Use Disorder Unit | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-05-07 |
| 1366631590 | Carnell Jackson II | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-24 |
| 1053509422 | Mario Salvador Gonzalez Sr. | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-10 |
| 1194913871 | Patricia Ann Wooten | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-09 |
| 1811185598 | Edward Eugene Henry | Counselor | 2918 W Vernon Ave, Los Angeles, CA 90008-4757 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185215 | Mishanda Y Freeman | Social Worker | 3001 West Vernon Ave, Los Angeles, CA 90008 | 2019-10-11 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1356840128 | Acclivity | Community/Behavioral Health | 3870 Crenshaw Blvd Ste 229, Los Angeles, CA 90008 | 2018-02-07 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1710498332 | The Dream Catcher Foundation, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4173 2nd Ave, Los Angeles, CA 90008 | 2017-10-23 |
| 1144748591 | Alexandra Nicole Romero | Social Worker | 3751 Stocker St., Los Angeles, CA 90008 | 2017-09-06 |
| 1669998209 | Leslie S Ortiz | Counselor | 3731 Stocker Street, Suite 105, Los Angeles, CA 90008 | 2017-08-15 |
| 1902335078 | Deanna L Williams | Counselor | 3757 Santa Rosalia Drive, #628, Los Angeles, CA 90008 | 2017-06-12 |
| 1609300508 | Lydia Quintanills | Counselor | 3756 Santa Rosalia Dr Suite 617, Los Angeles, CA 90008 | 2017-04-18 |
| 1881056661 | A Plus Care Giver Services | Clinic/Center | 2420 W. Mlk Jr. Blvd, Los Angeles, CA 90008 | 2016-03-22 |
| Find all providers in zip 90008 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457377 | Marian Locke | Counselor | 3901 W Adams Blvd, Los Angeles, CA 90018-1756 | 2020-11-05 |
| 1871193888 | Daniel Luna | Counselor | 811 Beacon Ave, Los Angeles, CA 90017-2113 | 2020-10-28 |
| 1962000240 | Frederick P Delafield Iv | Counselor | 679 1/2 Levering Ave, Los Angeles, CA 90024-2350 | 2020-10-09 |
| 1578179941 | Leo Vasquezawarez | Counselor | 470 E 3rd St # Ab, Los Angeles, CA 90013-1629 | 2020-09-21 |
| 1801401963 | Manuel Gambino | Counselor | 11301 Wilshire Blvd Bldg 337, Los Angeles, CA 90073-1003 | 2020-09-14 |
| 1871107219 | Frances Field | Counselor | 3739 Mentone Ave Apt 7, Los Angeles, CA 90034-6444 | 2020-09-02 |
| 1730707985 | Lucia Miguel | Counselor | 1428 W 59th St, Los Angeles, CA 90047-1209 | 2020-07-13 |
| 1821615220 | Sarah Payne | Counselor | 3217 North Eastern Ave, Los Angeles, CA 90032 | 2020-07-01 |
| 1376168070 | Mercedes Elkoff | Counselor | 1745 Warnall Ave, Los Angeles, CA 90024-5358 | 2020-06-09 |
| 1508481201 | Jeanine Ingram | Counselor | 3815 Lockland Dr, Los Angeles, CA 90008-3533 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90008 |
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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.