Individual provider Active NPI

Marlet C Jones

  • Student in an Organized Health Care Education/Training Program
  • Montclair, CA
National Provider Identifier
1346892411
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
9916 Central Ave
Montclair, CA 91763-3201
Phone
(909) 450-2502
NPI assigned
Jul 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Primary

Addresses

Primary practice location

9916 Central Ave
Montclair, CA 91763-3201

Mailing address

801 W 99TH St
Los Angeles, CA 90044-4607
Phone (714) 341-9896

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherSTUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/ TRAINING

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 00000 Other

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

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1346892411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 99TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444607",
            "telephone_number": "714-341-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 CENTRAL AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633201",
            "telephone_number": "909-450-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARLET",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT IN AN ORGANIZED HEALTH CARE EDUCATION/ TRAINING",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "00000",
            "affiliation": "N",
            "endpointDescription": "00000",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "00000",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "00000",
            "address_1": "9916 Central Ave",
            "city": "Montclair",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917633201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2020; 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.