Organization Active NPI

Jaydeeze Beauty and Health Care

  • Clinical Medical Laboratory
  • Santa Monica, CA
National Provider Identifier
1083313704
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JAYDEEZE BEAUTY AND HEALTH CARE
Practice address
2922 Santa Monica Blvd Ste C
Santa Monica, CA 90404-2414
Phone
(661) 479-1010
NPI assigned
Mar 2, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Briana Zamora, AUTHORIZED REP
Title
Admin
Phone
(661) 741-4135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2922 Santa Monica Blvd Ste C
Santa Monica, CA 90404-2414

Mailing address

5805 Savory LN
Bakersfield, CA 93309-5645
Phone (323) 358-3911

Other identifiers 1

IdentifierTypeStateIssuer
CLR-90008725OtherCASTATE ID

National Provider Directory

National Provider Directory

Locations

2922 Santa Monica Blvd
Ste C
Santa Monica, CA 90404
Phone (661) 479-1010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1083313704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SAVORY LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933095645",
            "telephone_number": "323-358-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 SANTA MONICA BLVD STE C",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042414",
            "telephone_number": "661-479-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYDEEZE BEAUTY AND HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "661-741-4135",
        "authorized_official_credential": "AUTHORIZED REP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "CLR-90008725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.