JERMAINE DELVONTAE WILLIAMS


Address: 8019 S. Compton Ave., Los Angeles, CA 90001
Phone: 3235867333

JERMAINE DELVONTAE WILLIAMS (NPI# 1912197724) 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) 1912197724
Entity Type Individual
Full Name JERMAINE DELVONTAE WILLIAMS
Practice Address 8019 S. Compton Ave.
Los Angeles
CA 90001
Mailing Address 13915 Alfeld Ave
Los Angeles
CA 90061-2123
Practice Telephone 3235867333
Mailing Telephone 3102170579
Enumeration Date 2007-07-27
Last Update Date 2007-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JERMAINE WILLIAMS

NPI Name Taxonomy Address Enumeration
1386119337 Jermaine Love Williams Recreation Therapist 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 2018-10-05
1134619794 Jermaine Williams Case Manager/Care Coordinator 7813 Airline Dr Ste B, Metairie, LA 70003-6462 2018-05-18
1063731214 Jermaine T Williams Counselor 2288 2nd Street Pike, Newtown, PA 18940 2010-05-27

Office Location

Street Address 8019 S. COMPTON AVE.
City LOS ANGELES
State CA
Zip Code 90001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154409274 Lizbeth Escobar Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90280-4654 2006-11-02
1487194494 Alicia Magana Case Manager/Care Coordinator 8019 S. Compton Ave., Los Angeles, CA 90001 2017-02-24
1407392525 Samuel Awolope Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2017-01-12
1558813378 Jeris Jackson Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2016-10-27
1508312828 Johanna Jacobo Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2016-08-28
1538523428 Cindy Meza Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2016-04-07
1659737724 Denise Banuelos Social Worker 8019 S. Compton Ave., Los Angeles, CA 90001 2016-01-05
1710368907 Julio Ramos-beltran Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2015-06-12
1619358819 Renika Desmond Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2015-06-12
1396126660 Dena Givens Rehabilitation Practitioner 8019 S. Compton Ave., Los Angeles, CA 90001 2015-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730722539 Lisa Crockom Technician 1838 E. Badillo Street Apt 1, Los Angeles, CA 90001 2019-10-24
1679047229 Rosario Montes Behavior Technician 6907 Hooper Ave, Los Angeles, CA 90001 2019-01-16
1467902031 Fun Dental 4 Kids 2 Dentist 1014 E Manchester Ave, Suite I, Los Angeles, CA 90001 2016-10-07
1295100709 Central City Community Health Center Clinic/Center 1236 E Florence Ave, Los Angeles, CA 90001 2015-12-09
1437596327 Natasha Nasha Andrews Clinic/Center 1620 E. 83rd Street, Los Angeles, CA 90001 2013-05-31
1679827943 Denise Michelle Betters Counselor 8019 S Compton Ave., Los Angeles, CA 90001 2012-11-07
1790050763 Animo Locke Tech Charter High School Community/Behavioral Health 810 E. 111th Street, Room # 113 & 114, Los Angeles, CA 90001 2012-03-09
1093021602 Larthia Renard Dunham Social Worker 8019 S. Compton Blvd., Los Angeles, CA 90001 2010-08-20
1114258761 Central City Comm Hlt Ctr Mobile Unit General Practice 5986 Central Avenue, Los Angeles, CA 90001 2010-01-21
1457688517 Yesenia Cruz Dental Assistant 1119 E 64th St., Los Angeles, CA 90001 2009-11-11
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Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861013757 Terrisa Noel-rivera Luna Rehabilitation Practitioner 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 2020-05-01
1063046795 Leanne Margaret Cremin Rehabilitation Practitioner 2285 Westwood Blvd, Los Angeles, CA 90064-2017 2020-03-03
1720610421 Ronmoe Inc Rehabilitation Practitioner 2025 Westwood Blvd, Los Angeles, CA 90025-6328 2020-02-10
1104390723 Joana Rodriguez Rehabilitation Practitioner 3731 Stocker St., Suite 105, Los Angeles, CA 90008 2019-01-16
1376055145 Gentle F Carcamo Rehabilitation Practitioner 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 2017-11-01
1114445848 Claudia Melgar Rehabilitation Practitioner 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 2017-09-01
1134646516 Maria Salas Rehabilitation Practitioner 333 S Beaudry Ave., Los Angeles, CA 90017 2017-08-25
1295257111 Freddy Pablo Rehabilitation Practitioner 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 2017-07-12
1356893796 Rosemary Marroquin Rehabilitation Practitioner 511 N Harvard Blvd, Los Angeles, CA 90004-1906 2016-11-02
1902356520 Aida Kimberly Escobar Rehabilitation Practitioner 2715 E 5th St, Los Angeles, CA 90033-4422 2016-10-06
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Competitor

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City LOS ANGELES
Zip Code 90001

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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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