Active NPI
Jamie Ailed Jane Dizon Llarena, RN
- Registered Nurse
- Monterey Park, CA
National Provider Identifier
1558013391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 65135801-01
- Practice address
- 211 N Huntington Ave Apt 8
Monterey Park, CA 91754-7404 - Phone
- (516) 289-1162
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 65135801-01 | NY | Primary |
Addresses
Primary practice location
211 N Huntington Ave Apt 8
Monterey Park, CA 91754-7404
Mailing address
211 N Huntington Ave Apt 8
Monterey Park, CA 91754-7404
Phone (516) 289-1162
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65135801-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1558013391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N HUNTINGTON AVE APT 8",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547404",
"telephone_number": "516-289-1162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N HUNTINGTON AVE APT 8",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547404",
"telephone_number": "516-289-1162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLARENA",
"first_name": "JAMIE AILED JANE",
"middle_name": "DIZON",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "65135801-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.