DEANE B. JACQUES, M.D., INC. (NPI# 1083917736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083917736 |
| Entity Type | Organization |
| Organization Name | DEANE B. JACQUES, M.D., INC. |
| Practice Address |
637 Lucas Ave Ste. 501 Los Angeles CA 90017-1912 |
| Practice Telephone | 6264144094 |
| Practice Fax Number | 6268043344 |
| Mailing Telephone | 6264144094 |
| Mailing Fax Number | 6268043344 |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |
| Authorized Official Name | DEANE B JACQUES (PRESIDENT) |
| Authorized Official Telephone | 6264144094 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
637 LUCAS AVE STE. 501 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062706 | John T. Yong | Internal Medicine | 637 Lucas Ave, Station One, Los Angeles, CA 90017-1912 | 2006-07-10 |
| 1417351776 | Prisca Ho | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-10-15 |
| 1629498548 | Coralyn Andrestaylor | Nutritionist | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-04-17 |
| 1073930079 | David Huang Md Radiation Oncologist Inc. | Radiology | 637 Lucas Ave, Los Angeles, CA 90017-1997 | 2014-03-27 |
| 1275962656 | Lady Josae Becerra | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-05 |
| 1134558794 | Melissa Randall | Genetic Counselor, MS | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1997 | 2013-11-04 |
| 1922305036 | Linda S. Cowan, Md A Professional Corporation | Medical Genetics | 637 Lucas Ave, #205, Los Angeles, CA 90017-1912 | 2011-02-25 |
| 1093017568 | Miriam Rebecca Cohen Gross | Dietitian, Registered | 637 Lucas Ave, Suite 205, Los Angeles, CA 90017-1912 | 2010-12-03 |
| 1316134802 | Suzanne Mary Eckhardt | Prosthetist | 637 Lucas Ave, Los Angeles, CA 90017-1912 | 2007-09-27 |
| 1700079944 | Sarah Kiyomi Yamaguchi | Obstetrics & Gynecology | 637 Lucas Ave, Suite 200, Los Angeles, CA 90017-1912 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1659926327 | Westside Anesthesia Group A Medical Corporation | Clinic/Center | 1964 Westwood Blvd Ste 436, Los Angeles, CA 90025-4695 | 2019-08-08 |
| 1558832741 | Grand Avenue Surgery Center, LLC | Clinic/Center | 1513 S Grand Ave Ste 350, Los Angeles, CA 90015-3075 | 2018-12-16 |
| 1700351194 | Integrative Surgical Associates Group, LLC. | Clinic/Center | 5757 Wilshire Blvd # P2, Los Angeles, CA 90036-5810 | 2018-10-11 |
| 1982180782 | Robertson Surgery Center Inc. | Clinic/Center | 822 S Robertson Blvd Ste 100b, Los Angeles, CA 90035-1613 | 2018-07-14 |
| 1972055382 | Alliance Surgery Partners, LLC | Clinic/Center | 1828 E Cesar Chavez Ave, Los Angeles, CA 90033-2424 | 2016-11-02 |
| 1164895744 | Los Angeles Ambulatory Surgery Center LLC | Clinic/Center | 266 S Harvard Blvd Ste 200, Los Angeles, CA 90004-4339 | 2015-11-04 |
| 1255752747 | Elite Surgery Center of Beverly Hills | Clinic/Center | 6310 San Vicente Blvd Ste 101b, Los Angeles, CA 90048-5498 | 2013-12-30 |
| 1942548003 | Sierra Surgical Services, LLC | Clinic/Center | 2202 S Figueroa St # 6601, Los Angeles, CA 90007-2049 | 2013-01-24 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on DEANE B. JACQUES, M.D., INC..
| 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.