Active NPI
Jerome Paulo Jumawan, MSW-LCSW
- Clinical Social Worker
- Laguna Hills, CA
National Provider Identifier
1083354724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92482
- Practice address
- 24451 Health Center Dr
Laguna Hills, CA 92653-3689 - Phone
- (559) 862-8810
- NPI assigned
- Mar 30, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 92482 | CA | Primary |
Addresses
Primary practice location
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Mailing address
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Phone (949) 452-3676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92482 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1083354724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24451 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533689",
"telephone_number": "949-452-3676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533689",
"telephone_number": "559-862-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMAWAN",
"first_name": "JEROME",
"middle_name": "PAULO",
"name_prefix": "Mr.",
"credential": "MSW-LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.