Abdul-Hakim Jeremiah Day

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

14360 Saint Andrews Dr
11
Victorville, CA 92395-4341

Phone

(760) 243-5417

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jeremiah Day Eustice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1396900932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13970 ESTATE WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923947438",
            "telephone_number": "760-952-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14360 SAINT ANDREWS DR",
            "address_2": "11",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954341",
            "telephone_number": "760-243-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "ABDUL-HAKIM",
        "middle_name": "JEREMIAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEREMIAH",
            "last_name": "EUSTICE",
            "middle_name": "DAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Victorville, CA
• Providers in Victorville, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.