Jacquan Lee Simmons

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5724 W 3Rd St
#307
Los Angeles, CA 90036-3078

Phone

(323) 456-0801

NPI assigned

Apr 23, 2008

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

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1285809079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 N HOLLYWOOD WAY",
            "address_2": "UNIT F",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052540",
            "telephone_number": "818-239-0112",
            "fax_number": "818-239-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 W 3RD ST",
            "address_2": "#307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363078",
            "telephone_number": "323-456-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JACQUAN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorin Paily Simmons, M.A. CCC-SLP
• Elayne Marie Simmons
• Erin Simmons
• Fiji Simmons, FNP-BC
• Gigi Ja Nea Simmons, MD
• Joseph Dwayne Simmons
• Lacy M Simmons, LCSW
• Marc S. Simmons, O.D.
• Priscilla Simmons, NURSE PRACTITIONER
• Ronald Simmons

• Case Manager/Care Coordinator in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.