Active NPI
Jane Peredo, SCM
- Genetic Counselor (M.S.)
- Los Angeles, CA
National Provider Identifier
1467471334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- Practice address
- 300 Medical PLZ
Ste. 3102
Los Angeles, CA 90095-0001 - Phone
- (310) 825-0300
- Fax
- (310) 794-1290
- NPI assigned
- Jul 19, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | NU | Primary |
Addresses
Primary practice location
300 Medical PLZ
Ste. 3102
Los Angeles, CA 90095-0001
Mailing address
11980 Nebraska Ave
Apt. 3
Los Angeles, CA 90025-3875
Phone (310) 210-4468
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467471334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11980 NEBRASKA AVE",
"address_2": "APT. 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900253875",
"telephone_number": "310-210-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PLZ",
"address_2": "STE. 3102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-0300",
"fax_number": "310-794-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREDO",
"first_name": "JANE",
"credential": "SCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NU",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.