JASON VAUGHN SHOEMAKER (NPI# 1023404563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023404563 |
| Entity Type | Individual |
| Full Name | JASON VAUGHN SHOEMAKER |
| Credential | CAADAC |
| Practice Address |
1420 N Sierra Bonita Ave Apt 407 Los Angeles CA 90046-8532 |
| Practice Telephone | 3107954066 |
| Mailing Telephone | 3107954066 |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2015-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1198020415 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803626 | Jason Don Shoemaker | Case Manager/Care Coordinator | 5202 Pheasant Run, Durant, OK 74701-2443 | 2020-05-26 |
| 1497053540 | Jason Daniel Shoemaker | Surgery | 7450 Hospital Dr Ste 150, Dublin, OH 43016-9641 | 2011-03-13 |
| Street Address |
1420 N SIERRA BONITA AVE APT 407 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90046-8532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325084 | Rimma R Golub | Nurse Practitioner | 948 N. Fairfax Ave, Suite 201, West Hollywood, CA 90046 | 2020-10-29 |
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1720592744 | Brian A Torres | Marriage & Family Therapist | 805 North Alta Vista Blvd, Unit 6, Los Angeles, CA 90046 | 2017-11-29 |
| 1770008005 | James N. Orr | Acupuncturist | 1351 N. Crescent Heights Blvd., Suite 116, West Hollywood, CA 90046 | 2017-08-08 |
| 1255701975 | Cameron Lee | Counselor | 8345 Ridpath Drive, Los Angeles, CA 90046 | 2015-10-07 |
| 1720465420 | The Doctor | Internal Medicine | 7531 Santa Monica Blvd Suite 101, West Hollywood, CA 90046 | 2015-05-01 |
| 1497152995 | Lisa Maznio | Counselor | 1400 N Martel Ave Apt 202, Los Angeles, CA 90046 | 2014-11-26 |
| 1013356690 | Pamela Rose Scott | Acupuncturist | 1321 N. Fairfax Ave., #3, West Hollywood, CA 90046 | 2013-06-18 |
| 1720360050 | Paul S. Raine | Marriage & Family Therapist | 8235 Santa Monica Blvd., Suite 400, West Hollywood, CA 90046 | 2011-09-13 |
| 1780995233 | Anna Samsanovich | Registered Nurse | 1701 Camino Palmero, Los Angeles, CA 90046 | 2010-06-30 |
| Find all providers in zip 90046 | ||||
| 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 | 90046 |
Please comment or provide details below to improve the information on JASON VAUGHN SHOEMAKER.
| 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.