Lerin Moriah Jaraczewski, RN

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

687045 Issued in CA

Practice address

3618 S Parker St
San Pedro, CA 90731-6462

Phone

(310) 909-4959

NPI assigned

Jun 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1467077594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 S PARKER ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316462",
            "telephone_number": "310-909-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 S PARKER ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316462",
            "telephone_number": "310-909-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARACZEWSKI",
        "first_name": "LERIN",
        "middle_name": "MORIAH",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "CA",
            "license": "687045",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "CA",
            "license": "687045",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "687045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S. Brust, M.D., Inc.
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• Jane Davis Lisenced Clinical Social Worker Professional Psychotherapy
• Alvin Jang, LCSW
• Daniel Jara
• Jennifer Che O D a Professional Corporation (San Pedro Optometry)
• Jennifer Randolph Acupuncture
• Jeremy Anuntiyo MD Inc
• Kevin Jervik, PHD
• Raylyn Justine Jilani

• Maternal Newborn Registered Nurse in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Maternal Newborn Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.