DR. JEREMIAH JAMES NIELSON (NPI# 1699891374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699891374 |
| Entity Type | Individual |
| Full Name | DR. JEREMIAH JAMES NIELSON |
| Credential | DO |
| Practice Address |
2020 Zonal Ave Ird# 820 Los Angeles CA 90089-0121 |
| Practice Telephone | 3232263406 |
| Practice Fax Number | 3232263440 |
| Mailing Telephone | 3232263406 |
| Mailing Fax Number | 3232263440 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2012-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
20A10873 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CA STATE MEDICAL LICENSE | 20A10873 | 01 |
| CA | DEA CERTIFICATE | FN2165846 | 01 |
| Street Address |
2020 ZONAL AVE IRD# 820 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90089-0121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226943 | Magnolia Mesina Eugenio | Nurse Practitioner | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2006-06-22 |
| 1346778578 | Kimeshia Thomas | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-06-01 |
| 1750812160 | Liya Stolyar | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-9300 | 2017-03-27 |
| 1003357310 | Jeffrey Yeh | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 624, Los Angeles, CA 90089-0121 | 2017-03-20 |
| 1063953388 | Evan Nicholas Vidar | Internal Medicine | 2020 Zonal Ave, Ird 624, Los Angeles, CA 90089 | 2017-03-20 |
| 1841731080 | Omeed Alipour | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 624, Los Angeles, CA 90089-0121 | 2017-03-20 |
| 1629519889 | Joon Choi | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-20 |
| 1396286720 | Nathan Lim | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-18 |
| 1679014005 | Weihuang Ning | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Ird 620, Los Angeles, CA 90089-0121 | 2017-03-18 |
| 1255872602 | Ronak Patel | Student in an Organized Health Care Education/Training Program | 2020 Zonal Ave, Los Angeles, CA 90089-0121 | 2017-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962980201 | Brittany Nicole Beasley | Psychologist | 1031 W. 34th St., 3rd Floor, Suite 304, Los Angeles, CA 90089 | 2018-07-30 |
| 1548763675 | Tien Ng | Pharmacist | Usc School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089 | 2018-03-15 |
| 1821503236 | Theodore James Goldsmith | Psychologist | 1031 W 34th St Fl 3, Los Angeles, CA 90089 | 2017-12-07 |
| 1174046890 | Erin Lindsay Mcintyre | Occupational Therapist | 1540 Alcazar Street, Chp 133, Los Angeles, CA 90089 | 2017-07-25 |
| 1831645571 | Alyssa Cantal | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St., Chp-133, Los Angeles, CA 90089 | 2016-09-01 |
| 1841744638 | Cheryl Jonghee Park | Dentist | 925 W. 34th Street, Room 4363, Los Angeles, CA 90089 | 2016-08-09 |
| 1528412376 | Mark Duan Ard Jr. | Psychiatry & Neurology | 1975 Zonal Ave, Los Angeles, CA 90089 | 2016-04-18 |
| 1851766679 | Samantha Trout | Student in an Organized Health Care Education/Training Program | 1540 Alcazar St Chp-133, Los Angeles, CA 90089 | 2015-12-04 |
| 1215324363 | Upama Giri | Student in an Organized Health Care Education/Training Program | 1441 Eastlake Ave Ste 3470, Los Angeles, CA 90089 | 2015-04-15 |
| 1982015004 | Martrice Ways | Student in an Organized Health Care Education/Training Program | 3375 South Hoover Street, Suite H201, Los Angeles, CA 90089 | 2014-05-12 |
| Find all providers in zip 90089 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1528055456 | Yang Kim | Pediatrics | 500 S Virgil Ave # 2047a, Los Angeles, CA 90020 | 2005-10-05 |
| 1801248588 | Neonatal Specialty Care Medical Care, Inc. | Pediatrics | 1401 S Grand Ave, Los Angeles, CA 90015-3010 | 2016-07-06 |
| 1427467497 | Maria Gabriela Dominguez Garcia | Pediatrics | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2014-08-04 |
| 1205112786 | Loew-tefft Neonatal Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2011-10-27 |
| 1326335233 | Arlene Espiritu Haigh | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2011-06-30 |
| 1073804332 | Claire Elizabeth Baldauf | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2011-04-21 |
| 1033421920 | Sarah Renee Volz | Pediatrics | 4650 W Sunset Blvd, Los Angeles, CA 90027 | 2010-07-08 |
| 1467788265 | Ruby George | Pediatrics | 1200 N State Street, Ird Building, Room # 820, Los Angeles, CA 90033 | 2009-10-29 |
| 1104066570 | Newborn Special Care Medical Group | Pediatrics | 1720 E Cesar E Chavez Ave, Los Angeles, CA 90033-2414 | 2009-02-25 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90089 |
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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.