Active NPI
Jaydeeze Beauty and Health Care
- Clinical Medical Laboratory
- Santa Monica, CA
National Provider Identifier
1083313704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLR-90008725 | Other | CA | STATE ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Licensed Vocational Nurse
- Santa Monica, CA
- NPI 1013619675
Clinical Medical Laboratory
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.