Individual provider Active NPI

Jameese B Smith

  • Case Manager/Care Coordinator
  • Los Angeles, CA
National Provider Identifier
1205252533
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
159 W 110TH St
Los Angeles, CA 90061-2013
Phone
(310) 625-7431
NPI assigned
Mar 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

159 W 110TH St
Los Angeles, CA 90061-2013

Mailing address

742 N la Brea Ave.
Inglewood, CA 90302
Phone (310) 672-4078

Other practice location 1

271 E. 43rd Street
Los Angeles, CA 90011
Phone (323) 676-5685

Other practice location 2

526 S San Pedro St
Los Angeles, CA 90013-2102
Phone (213) 488-9559 ext. 108

Other practice location 3

235 E. 43rd Street
Los Angeles, CA 90011-2102
Phone (323) 897-5006

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christ-Centered Ministries CurrentSince Mar 17, 2024 Accepting new patients

Locations

742 N La Brea Ave
Inglewood, CA 90302

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709337600000",
    "number": "1205252533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N LA BREA AVE.",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90302",
            "telephone_number": "310-672-4078",
            "fax_number": "323-544-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 W 110TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612013",
            "telephone_number": "310-625-7431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "271 E. 43rd Street",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90011",
            "country_code": "US",
            "telephone_number": "323-676-5685",
            "fax_number": "323-544-6322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "526 S San Pedro St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900132102",
            "country_code": "US",
            "telephone_number": "213-488-9559 x108",
            "fax_number": "213-542-6549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E. 43rd Street",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900112102",
            "country_code": "US",
            "telephone_number": "323-897-5006",
            "fax_number": "323-544-6322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMEESE",
        "middle_name": "B",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Mar 2, 2024; 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.