MR. JAKE L JOHNSON III (NPI# 1902086705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902086705 |
| Entity Type | Individual |
| Full Name | MR. JAKE L JOHNSON III |
| Practice Address |
1500 S Mcdonnell Ave Los Angeles CA 90040-5623 |
| Practice Telephone | 3239814301 |
| Practice Fax Number | 3238816733 |
| Mailing Telephone | 3239814301 |
| Mailing Fax Number | 3238816733 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333946 | Jake Johnson | Pharmacist | 17008 Palm Pointe Dr, Tampa, FL 33647-3504 | 2020-10-14 |
| 1851939938 | Jake Johnson | Counselor | 3400 W Garland Ave, Spokane, WA 99205-2119 | 2019-12-19 |
| 1225698921 | Jake Nolan Johnson | Internal Medicine | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2019-06-17 |
| 1134787518 | Jake Michael Johnson | Physician Assistant | 267 Grant St, Bridgeport, CT 06610-2805 | 2019-05-31 |
| 1548732076 | Jake Johnson | Nurse Anesthetist, Certified Registered | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2018-12-21 |
| 1144708652 | Jake Johnson | Student in an Organized Health Care Education/Training Program | 812 University St, Pella, IA 50219-1902 | 2018-08-06 |
| 1164625240 | Jake A Johnson | Counselor | 14300 Gallant Fox Ln, Suite 211, Bowie, MD 20715-4003 | 2007-06-07 |
| 1043254618 | Jake Carson Johnson | Anesthesiology | 67 Creekside Park Ct, Greenville, SC 29615-4810 | 2006-06-15 |
| Street Address |
1500 S MCDONNELL AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90040-5623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649442146 | David Perez | Counselor | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2008-03-25 |
| 1689854499 | Robert Lee Leventhal Sr. | Counselor | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2007-11-08 |
| 1063692952 | Booker Tk Waugh | Counselor | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2007-11-07 |
| 1063605715 | Sonephet Phommarath | Student in an Organized Health Care Education/Training Program | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2007-08-24 |
| 1003964461 | Richard Arche | Recreation Therapist | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2007-01-08 |
| 1952465312 | Richard Fontenot | Counselor | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2006-12-20 |
| 1235201385 | Angel Rene Kelly-blaydes | Social Worker | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2006-11-14 |
| 1225116361 | Carolyn G Myles | Social Worker | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2006-11-02 |
| 1407951783 | County of Los Angeles Auditor Controller | Clinic/Center | 1500 S Mcdonnell Ave, Los Angeles, CA 90040-5623 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178358 | On Site Physician Services, PC | Family Medicine | 6131 Telegraph Road, Commerce, CA 90040 | 2018-09-20 |
| 1912423831 | Rafael Marron IIi | Health Educator | 5675 E. Telegraph Rd., Commerce, CA 90040 | 2017-08-22 |
| 1699196378 | Altamed Health Services | Health Maintenance Organization | 2040 Camfield Ave., Los Angeles, CA 90040 | 2013-12-23 |
| 1578815072 | Martha Rose Lopez | Rehabilitation Practitioner | 2450 South Atlantic Blvd., Suite #101, Commerce, CA 90040 | 2012-10-08 |
| 1386906949 | Nadia Felix | Case Manager/Care Coordinator | 2450 Atantic Blvd, Suite #101, Commerce, CA 90040 | 2012-06-11 |
| 1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
| 1821398488 | Karla Sandin | Marriage & Family Therapist | 5628 E Slauson Ave., City of Commerce, CA 90040 | 2010-10-29 |
| 1437461662 | Stephanie Ann Villasenor | Counselor | 5800 S Eastern Ave Ste 500, Commerce, CA 90040 | 2010-07-02 |
| 1699940296 | Carolyn Coolidge | Rehabilitation Practitioner | 6055 E. Washingtonblvd., Suite 900, Commerce, CA 90040 | 2008-04-24 |
| 1508040379 | Miyoshi Umeki Dorsey | Case Management | 1500 S. Mc Dowell Ave., Los Angeles, CA 90040 | 2007-12-28 |
| Find all providers in zip 90040 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90040 |
Please comment or provide details below to improve the information on MR. JAKE L JOHNSON III.
| 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.