Jason Andrada, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95134096 Issued in CA

Practice address

1149 W 190TH St
Gardena, CA 90248-4321

Phone

(310) 851-4705

Fax

(310) 851-4719

NPI assigned

Aug 1, 2018

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1164900148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 E 218TH PL",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453001",
            "telephone_number": "562-330-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 W 190TH ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484321",
            "telephone_number": "310-851-4705",
            "fax_number": "310-851-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADA",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95134096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Isaac Anderson
• Nicholas Christin Anderson
• Nicole Anderson
• Sadarius Demond Anderson
• Shaunte E Anderson, FNP
• Lindsey Rodriguez Andrade, BT
• Roxanna Andrade
• Michael Glen Andrews III
• Ayana Angeletti
• Sirena Alize Angiano

• Registered Nurse in Gardena, CA
• Providers in Gardena, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.