Jeremiah Ray Boone

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW28194 Issued in CA

Practice address

901 W Victoria St
Suite F & G
Compton, CA 90220-5807

Phone

(714) 317-9877

NPI assigned

Sep 9, 2009

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

State licenses

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1336472232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PINE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133124",
            "telephone_number": "714-317-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W VICTORIA ST",
            "address_2": "SUITE F & G",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902205807",
            "telephone_number": "714-317-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "JEREMIAH",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW28194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm David Blanchard, M.D.
• Evan Bogdan, MD
• Larry Bernard Boglin
• Shianne Tanisha Bonds
• Kimberly Riego Catbagan Bongcaron, LM,CPM
• Chastacey Bowers, NURSE PRACTITIONER
• Bowlay Rehabilitation Centers, Inc.
• Donna M Boyd
• Laura Bradigan
• Jadan Lee Bradley I

• Clinical Social Worker in Compton, CA
• Providers in Compton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.