Individual provider Active NPI

Jean Doerfler, CA NHA 5826

  • Nursing Home Administrator
  • Whittier, CA
National Provider Identifier
1609025147
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
CA NHA 5826 Issued in CA
Practice address
10471 Parise Dr
Whittier, CA 90604-1159
Phone
(626) 485-6772
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X CA NHA 5826 CA Primary

Addresses

Primary practice location

10471 Parise Dr
Whittier, CA 90604-1159

Mailing address

10471 Parise Dr
Whittier, CA 90604-1159
Phone (626) 485-6772

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

State licenses

LicenseStateTypeSpecialty
CA NHA 5826CAMDNursing Home Administrator

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1609025147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10471 PARISE DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041159",
            "telephone_number": "626-485-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10471 PARISE DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906041159",
            "telephone_number": "626-485-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERFLER",
        "first_name": "JEAN",
        "credential": "CA NHA 5826",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "CA NHA 5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.