NPIMap

Organization Active NPI

Violeta M de Jesus MD

  • Adolescent Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1114249620
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
A48057 Issued in CA
Legal business name
VIOLETA M DE JESUS MD
Practice address
2011 Wilshire Blvd
Los Angeles, CA 90057-3503
Phone
(213) 484-4444
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Violeta M De Jesus, MD
Title
Practitioner
Phone
(714) 948-0746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X A48057 CA Primary

Addresses

Primary practice location

2011 Wilshire Blvd
Los Angeles, CA 90057-3503

Mailing address

2011 Wilshire Blvd
Los Angeles, CA 90057-3503
Phone (213) 484-4444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1114249620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573503",
            "telephone_number": "213-484-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573503",
            "telephone_number": "213-484-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLETA M DE JESUS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "VIOLETA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "714-948-0746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A48057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.