Robert Michael Jeffries, C.O.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Practice address

444 S San Vicente Blvd
MGB, Suite 603
Los Angeles, CA 90048-4165

Phone

(310) 313-5874

Fax

(310) 395-1187

NPI assigned

Apr 30, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. R. Michael Jeffries Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215157326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3698",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904083698",
            "telephone_number": "310-313-5874",
            "fax_number": "310-395-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SAN VICENTE BLVD",
            "address_2": "MGB, SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-313-5874",
            "fax_number": "310-395-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFRIES",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0007130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R.",
            "last_name": "JEFFRIES",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "C.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robert I Jeffrey, D.C., L.AC.
• Jeffrie Maneepetasut DMD Inc
• Carolann Jeffries, PA
• Jennifer Rachael Jeffries
• Joel S Jeffries
• Walter Jekot, M.D.
• Robert Leo Jelicich, D.D.S.
• Marynell Jelinek, M.D.
• Devonae Zavonne Jelks
• Janelle Cherril Jelks

• Customized Equipment (DME) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.