Jeremiah N Lewis

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

F8023095 Issued in CA

Practice address

6881 Breeland Dr
Huntington Beach, CA 92647-3109

Phone

(714) 381-8419

NPI assigned

Aug 2, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1508548397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6881 BREELAND DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6881 BREELAND DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473109",
            "telephone_number": "714-381-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JEREMIAH",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "F8023095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Levin, DDS
• Robert Irwin Levin, DDS
• David R Levine, DDS
• Heather Lewis, MS, CCC-SLP
• Jean L Lewis, PHARMD
• Leyva Psychology, Inc.
• Charles Jia-Nian Li
• Ruiquan Li, ACUPUNCTURE
• Tiffany Li
• Callista Lian

• Athletic Trainer in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.