Active NPI
Georgia Jessup and Assoicates
- General Acute Care Hospital
- Los Angeles, CA
National Provider Identifier
1366652505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- SP2916
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.