Jessie Jeffery, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19890 Issued in CA

Practice address

103 S Locust St
Inglewood, CA 90301-1812

Phone

(310) 412-3277

Fax

(310) 412-3223

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florence Western Medical Clinic IncGroup PAC ID 1850485962, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florence Western Medical Clinic Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1154347797
  Medicare reassignment Care Compare group
• Anthony L Pollard DO a Professional Corporation

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1518189745
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396760252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882454",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900093554",
            "telephone_number": "702-287-3813",
            "fax_number": "323-232-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S LOCUST ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011812",
            "telephone_number": "310-412-3277",
            "fax_number": "310-412-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 S Figueroa St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900373159",
            "country_code": "US",
            "telephone_number": "323-232-2601",
            "fax_number": "323-232-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "JESSIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002402068",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hossein Javid, DDS
• Kian M Javid, D.C.
• JCW Medical Centers, Inc.
• Jean Allard, M.D., Inc
• Guinpcy Jean
• Jehan Mir , a Professional Medical Corporation
• Adrian David Jenkins
• Jennifer Noble Psychological Corporation
• Hyejin Jeon, D.D.S.
• Sonya Marie Jesus, LCSW

• Physician Assistant in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.