Active NPI
J & S Management Services LLC
- Multi-Specialty Clinic/Center
- La Mirada, CA
National Provider Identifier
1639940950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- J & S MANAGEMENT SERVICES LLC
- Practice address
- 15024 Imperial Hwy
La Mirada, CA 90638-1301 - Phone
- (714) 420-5268
- NPI assigned
- Jan 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Wong, NP
- Title
- Owner
- Phone
- (714) 420-5268
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
15024 Imperial Hwy
La Mirada, CA 90638-1301
Mailing address
15024 Imperial Hwy
La Mirada, CA 90638-1301
National Provider Directory
National Provider DirectoryLocations
15024 Imperial Hwy
La Mirada, CA 90638
Phone (714) 420-5268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1639940950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15024 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15024 IMPERIAL HWY",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906381301",
"telephone_number": "714-420-5268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J & S MANAGEMENT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "WONG",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-420-5268",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mirada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.