Shirlene Jay, M.D., Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G83142 Issued in CA

Legal business name

SHIRLENE JAY, M.D., INC

Practice address

3400 Lomita Blvd
Ste 104
Torrance, CA 90505-4909

Phone

(310) 257-1988

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Davena Ortega

Title

Office Rep

Phone

(310) 729-7136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirlene Jay, MD

  • Dermatology Physician
  • Torrance, CA
  • NPI 1730158197
  Medicare reassignment

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1366637449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-257-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "STE 104",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-257-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLENE JAY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "DAVENA",
        "authorized_official_title_or_position": "OFFICE REP",
        "authorized_official_telephone_number": "310-729-7136",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G83142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M. Shiosaki, NURSE PRACTITIONER
• Melissa Mei Shiotsu, M.A., CCC-SLP
• Kenneth Shiozaki, D.O.
• Glenda Diane Shirer
• Lara G Shirikjian, D.O.
• Shizuka Erin Shishido, MPAS, PA-C, ATC,CSCS
• Evangeline Uy Shitabata, DDS
• Paul K. Shitabata, M.D.
• Sho Izumi, DDS, Inc
• Michael Olufemi Shodiya

• Dermatology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.