JDS Consulting, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

JDS CONSULTING, INC.

Practice address

5230 Clark Ave
Lakewood, CA 90712-2619

Phone

(657) 231-6200

Fax

(949) 835-4182

NPI assigned

Feb 11, 2022

Organization subpart

No

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

Authorized official

Name

Anna Marie Lane

Title

Director Revenue Cycle Management

Phone

(949) 201-7468

Specialties & licenses 1

Addresses

Other names 1

• Trust SoCal Doing business as

Tax ID family

JDS Consulting Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JDS Consulting, Inc.

  • Substance Abuse Rehabilitation Facility
  • Santa Ana, CA
  • NPI 1205400652
  NPD tax ID

Locations

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1205580818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST STE 218",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015142",
            "telephone_number": "657-231-6200",
            "fax_number": "949-835-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CLARK AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907122619",
            "telephone_number": "657-231-6200",
            "fax_number": "949-835-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "949-201-7468"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trust SoCal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Matthew Janoian
• Celleen Jao
• Hemali Bhakta Jardosh, O.D.
• Tharawadee Jarupan
• Fariba Javadi, M.D.
• Bomi Jeon, L.AC.
• Jesse J Licuanan MD a Medical Corporation
• Norman Bruce Jetton, MD
• Sharon Jimenez
• Jiten M Vasa, DDS., Inc

• Substance Use Disorder Rehabilitation Clinic/Center in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.