Jennifer Vallejo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

24330 Narbonne Ave
Lomita, CA 90717-1131

Phone

(310) 534-1083

NPI assigned

Sep 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Lac Emergency Outreach Bureau (Psychiatric Mobile Response Team)

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Downey, CA
  • NPI 1477834125
  NPD (past)

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1114234291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 PATTON RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415234",
            "telephone_number": "562-644-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24330 NARBONNE AVE",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171131",
            "telephone_number": "310-534-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEJO",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unifiedcare Community Health Center, a California Nonprofit Organization (Unifiedcare Community Health Center)
• United Healthcare Distributors
• Narinder P. Uppal, D.D.S.
• Symar Pal Uppal, DDS
• Usrc Lomita LLC (U.S. Renal Care Lomita Dialysis)
• Nivia Van Damme, LCSW
• Hilary Paige Gereaux Van Dixhorn
• Maa Vili
• Dolores A Villacarlos, MD
• Vlblgg Inc. (Comfort Keepers Southbay)

• Mental Health Counselor in Lomita, CA
• Providers in Lomita, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.