LOUIS JENKINS (NPI# 1154401552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154401552 |
| Entity Type | Individual |
| Full Name | LOUIS JENKINS |
| Credential | PHD |
| Practice Address |
11130 Anderson St Ste 117 Loma Linda CA 92354-2802 |
| Mailing Address |
54701 File Number Los Angeles CA 90074-4701 |
| Practice Telephone | 9095588752 |
| Mailing Telephone | 9095583111 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY6079 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY060790 | 05 |
| Street Address |
11130 ANDERSON ST STE 117 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92354-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487603924 | Faculty Physicians and Surgeons of Llusm | Psychologist | 11130 Anderson St, Suite 117, Loma Linda, CA 92354-2802 | 2006-05-10 |
| 1508421645 | Bianca Lizett Avila | Dietitian, Registered | 11130 Anderson St, Loma Linda, CA 92350-1729 | 2019-05-03 |
| 1851746382 | Jerry Slater | Student in an Organized Health Care Education/Training Program | 11130 Anderson St, Loma Linda, CA 92350-1729 | 2016-05-03 |
| 1740572965 | Bridgette J Peteet | Psychologist | 11130 Anderson St, Loma Linda, CA 92350-1729 | 2011-05-05 |
| 1639497944 | Adam Lapree Arechiga | Psychologist | 11130 Anderson St, Loma Linda, CA 92354-2802 | 2010-05-11 |
| 1124139399 | David A Vermeersch | Psychologist | 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | 2006-08-31 |
| 1235240490 | Kendal C Boyd | Psychologist | 11130 Anderson St, Ste 117, Loma Linda, CA 92354-2802 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1013517960 | Kristina Pulliam Markey | Nurse Practitioner | 11234 Anderson Strreet, Loma Linda, CA 92354 | 2020-10-29 |
| 1932725645 | Dev Priya Singhvi | Student in an Organized Health Care Education/Training Program | 11332 Mountain View Avenue, Westerly Building, Suite C, Gme Office, Loma Linda, CA 92354 | 2020-06-18 |
| 1750901278 | Angela N Torres | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Emergency Medicine, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-04-24 |
| 1548899230 | Holistic Physical Therapy Inc. | Physical Therapist | 25003 Starr Str, Loma Linda, CA 92354 | 2020-04-03 |
| 1508494071 | Eric Allen | Student in an Organized Health Care Education/Training Program | Loma Linda University Health Pediatrics, General, 11234 Anderson Street, Loma Linda, CA 92354 | 2020-03-31 |
| 1730640244 | Rose Valley Rcfe | Assisted Living Facility | 11574 Poplar St, Loma Linda, CA 92354 | 2019-03-27 |
| 1336633676 | David A Lawrence | Student in an Organized Health Care Education/Training Program | Loma Linda University Hospital, 11234 Anderson St., Loma Linda, CA 92354 | 2018-06-20 |
| 1205329547 | Rachael Nicole Spady | Student in an Organized Health Care Education/Training Program | Loma Linda University Health - Obstetrics & Gynecology, 11234 Anderson St, Loma Linda, CA 92354 | 2018-06-12 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| Find all providers in zip 92354 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378458 | Lorraine Joy Abaro Thomas | Psychologist | 24604 University Ave, Loma Linda, CA 92354-2724 | 2018-12-21 |
| 1659399632 | Paul J. Custer | Psychologist | Va Loma Linda Healthcare System # 116a, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-07-17 |
| 1366485807 | Michael A. Goldstein | Psychologist | Pettis Memorial Vamc, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-13 |
| 1780623983 | Juliet W Hung | Psychologist | Va Loma Linda, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-05 |
| 1467405902 | Joshua Macpherson Buley | Psychologist | Loma Linda Va Medical Center, 116a, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-05-18 |
| 1952824427 | Beth Meyer-bulley | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2017-07-17 |
| 1699222661 | Nathanial Benjaman Hawkins | Psychologist | 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 | 2016-09-07 |
| 1407223357 | May Kim | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-08-26 |
| 1003294703 | Krystal Gregg | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-05-13 |
| 1659765691 | Christina Wei | Psychologist | 11201 Benton St, Loma Linda, CA 92357-1000 | 2015-03-27 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92354 |
Please comment or provide details below to improve the information on LOUIS JENKINS.
| 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.