Jeneane Salalima Agustin

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

22540000X Issued in CA

Practice address

2450 S Atlantic Blvd
Suite 207
Commerce, CA 90040-1200

Phone

(323) 887-1917

Fax

(323) 268-6572

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1205087343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S ATLANTIC BLVD",
            "address_2": "SUITE 207",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401200",
            "telephone_number": "323-887-1917",
            "fax_number": "323-268-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S ATLANTIC BLVD",
            "address_2": "SUITE 207",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401200",
            "telephone_number": "323-887-1917",
            "fax_number": "323-268-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "JENEANE",
        "middle_name": "SALALIMA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "22540000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jissel Aguilar
• Marisol Aguilar
• Johanna Aguiluz
• Christine Arlene Aguirre
• Ligia Aguirre
• Tynette Maika'I Akim
• Yoshimi Akiyoshi
• Alan Leventhal O.D. P.C.
• Stephany Albarran
• Gloria Alcala

• Rehabilitation Practitioner in Commerce, CA
• Providers in Commerce, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.