Individual provider Active NPI

Jean Everly Lafontant, M.D.

  • Public Health & General Preventive Medicine Physician
  • Riverside, CA
National Provider Identifier
1043501851
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
A131224 Issued in CA
Practice address
5870 Arlington Ave
Riverside, CA 92504-2037
Phone
(951) 683-6596
Fax
(951) 683-4239
NPI assigned
Apr 27, 2011
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X A131224 CA Primary

Addresses

Primary practice location

5870 Arlington Ave
Riverside, CA 92504-2037

Mailing address

5870 Arlington Ave
Riverside, CA 92504-2037
Phone (952) 683-6596

Other practice location 1

9041 Magnolia Ave # 107
Riverside, CA 92503
Phone (951) 353-1021

Other practice location 2

5870 Arlington Ave
Riverside, CA 92504-2037
Phone (951) 683-6596 ext. 1047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205000003 CA Practitioner - Preventive Medicine 7315262870 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131224CAMDMarriage & Family Therapist
A131224CAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BGM Medical Services Inc a Medical Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJFDBA/Endpoint/EJFDBA
  • Direct secure messaging: jean.lafontant.1@10039.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1043501851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042037",
            "telephone_number": "952-683-6596",
            "fax_number": "951-683-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 ARLINGTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925042037",
            "telephone_number": "951-683-6596",
            "fax_number": "951-683-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9041 Magnolia Ave # 107",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "92503",
            "country_code": "US",
            "telephone_number": "951-353-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5870 Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925042037",
            "country_code": "US",
            "telephone_number": "951-683-6596 x1047",
            "fax_number": "951-683-4239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFONTANT",
        "first_name": "JEAN",
        "middle_name": "EVERLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A131224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.