Jill E. Maiten, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

529329 Issued in AL

Practice address

2701 Atlantic Ave
Suite a
Long Beach, CA 90806-2701

Phone

(562) 989-8449

Fax

(562) 989-8679

NPI assigned

Nov 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063591576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11272 LAMPSON AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405323",
            "telephone_number": "714-636-3144",
            "fax_number": "714-636-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 ATLANTIC AVE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062701",
            "telephone_number": "562-989-8449",
            "fax_number": "562-989-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITEN",
        "first_name": "JILL",
        "middle_name": "E.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "529329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "529329",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christiana Maiella, FNP
• Christa Maikisch
• Henry Maillefer, PHARM.D.
• Madelynn Alexandra Main, M.S. CCC-SLP
• Susan Mais-Requejo, D.P.T.
• Christine M. Maitland-Koeh, M.S.W.
• Michael Paul Majancsik, D.C.
• Majestic Medical Clinic, Inc.
• Katherine Ann Majewski, ACSW
• Carmen Nicole Majied-Muhammad, PSY.D.

• Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.