Active NPI
Dajanel Markishe Reed
- Student in an Organized Health Care Education/Training Program
- Duarte, CA
National Provider Identifier
1639822695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 931 Buena Vista St Ste 503
Duarte, CA 91010-1727 - Phone
- (626) 408-7802
- NPI assigned
- Jan 31, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
931 Buena Vista St Ste 503
Duarte, CA 91010-1727
Mailing address
344 Pamela Rd
Monrovia, CA 91016-5039
Phone (626) 502-9648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8005268196 | Medicaid | CA |
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": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1639822695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 PAMELA RD",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910165039",
"telephone_number": "626-502-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 BUENA VISTA ST STE 503",
"city": "DUARTE",
"state": "CA",
"postal_code": "910101727",
"telephone_number": "626-408-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DAJANEL",
"middle_name": "MARKISHE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8005268196",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.