Organization Active NPI

Georgia Jessup and Assoicates

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1366652505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
SP2916 Issued in CA
Legal business name
GEORGIA JESSUP AND ASSOICATES
Practice address
531 W College St
Los Angeles, CA 90012-2315
Phone
(213) 683-9390
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Georgia Lee Jessup, MACCC
Title
Speech Therapist
Phone
(310) 450-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X SP2916 CA Primary

Addresses

Primary practice location

531 W College St
Los Angeles, CA 90012-2315

Mailing address

2101 Marine St
Santa Monica, CA 90405-6039
Phone (310) 450-0666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366652505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 MARINE ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904056039",
            "telephone_number": "310-450-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 W COLLEGE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122315",
            "telephone_number": "213-683-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA JESSUP AND ASSOICATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JESSUP",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "310-450-0666",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MACCC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "SP2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.