PAUL LEON JEFFERSON (NPI# 1043521362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043521362 |
| Entity Type | Individual |
| Full Name | PAUL LEON JEFFERSON |
| Practice Address |
1865 9th Street Santa Monica CA 90404-4501 |
| Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 3103146200 |
| Mailing Telephone | 3103146200 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-12-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1512013461 | 05 |
| Street Address |
1865 9TH STREET |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669792065 | Byron Williams | Counselor | 1865 9th Street, Santa Monica, CA 90404-4501 | 2010-06-08 |
| 1881211597 | Lauren Marie Riddles | Social Worker | 1865 9th Street, Santa Monica, CA 90404-1326 | 2020-06-29 |
| 1720611908 | Michellani Bernard | Licensed Vocational Nurse | 1865 9th Street, Santa Monica, CA 90404 | 2020-02-17 |
| 1073152849 | Rome Chante Barrera | Counselor | 1865 9th Street, Santa Monica, CA 90440 | 2019-12-27 |
| 1205472263 | Sylvia Oluchi Ezirim | Licensed Practical Nurse | 1865 9th Street, Santa Monica, CA 90404 | 2019-11-25 |
| 1467015107 | Yvonne Michelle Freiberger | Licensed Vocational Nurse | 1865 9th Street, Santa Monica, CA 90405 | 2019-04-18 |
| 1912462367 | Darnesha Q Banks | Counselor | 1865 9th Street, Santa Monica, CA 90404 | 2019-02-08 |
| 1346713211 | Stephanie Koss | Licensed Vocational Nurse | 1865 9th Street, Santa Monica, CA 90405-1326 | 2019-01-03 |
| 1427525781 | Lauren Qieu Fennell | Counselor | 1865 9th Street, Santa Monica, CA 90404 | 2018-10-25 |
| 1073097341 | Solomon Aaron Singer | Counselor | 1865 9th Street, Santa Monica, CA 90401 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548820111 | Vincent Staraci | Counselor | 1008 11th St Ste 301, Santa Monica, CA 90403-4107 | 2019-06-17 |
| 1255890992 | Melissa Anne Garner-lee | Counselor | 3101 Ocean Park Blvd Ste 304, Santa Monica, CA 90405-3022 | 2019-03-12 |
| 1710468434 | Nicole Elisabeth Evans | Counselor | 1150 Yale St Ste 3, Santa Monica, CA 90403-4774 | 2018-08-22 |
| 1306350749 | Sophie Rachel Levy | Counselor | 1137 2nd St Ste 203, Santa Monica, CA 90403-5085 | 2017-11-21 |
| 1740708999 | Ceasar Mejia | Counselor | 1905 Pico Blvd, Santa Monica, CA 90405-1627 | 2017-09-07 |
| 1346799228 | Randy Walburger | Counselor | 1930 Stewart St., X12, Santa Monica, CA 90404-4966 | 2016-10-03 |
| 1821454240 | Amada Battista | Counselor | 508 12th St, Santa Monica, CA 90402-2908 | 2016-01-14 |
| 1245601699 | Theodora Stone Harvey | Counselor | 2803 Highland Ave Apt 2, Santa Monica, CA 90405-4567 | 2015-10-12 |
| 1417333204 | Ira Israel | Counselor | 2316 Montana Avenue, Apt D, Santa Monica, CA 90403 | 2015-08-04 |
| 1386063055 | Providence Community Services | Counselor | 2425 Olympic Blvd, Suite #4000-w, Santa Monica, CA 90404-4030 | 2014-04-10 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
Please comment or provide details below to improve the information on PAUL LEON JEFFERSON.
| 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.