Active NPI
Temre Jane Ball, AA,CPR,BLS,QMAP
- Attendant Care Provider
- Long Beach, CA
National Provider Identifier
1376104984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 1235 E 15TH St
Long Beach, CA 90813-2201 - Phone
- (562) 238-4429
- NPI assigned
- Jun 25, 2019
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NU | ||
| Adult Companion | 372600000X | NU | ||
| Attendant Care Provider | 3747A0650X | NU | Primary |
Addresses
Primary practice location
1235 E 15TH St
Long Beach, CA 90813-2201
Mailing address
1054 McLish St Ardmore Oklahoma 73401
Ardmore, OK 73401
Phone (580) 826-7934
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
- Credentials
- Associate of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1376104984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1054 MCLISH ST ARDMORE OKLAHOMA 73401",
"city": "ARDMORE",
"state": "OK",
"postal_code": "73401",
"telephone_number": "580-826-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E 15TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908132201",
"telephone_number": "562-238-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALL",
"first_name": "TEMRE",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "AA,CPR,BLS,QMAP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-25",
"last_updated": "2024-03-06",
"certification_date": "2024-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.