Individual provider Active NPI

Jennifer C Joswick, R.E.

  • Specialist
  • Downey, CA
National Provider Identifier
1659815496
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
RE8407 Issued in CA
Practice address
8615 Florence Ave Ste 212
Downey, CA 90240-4037
Phone
(559) 308-5164
Fax
(888) 502-7213
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8407 CA
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X RE8407 CA Primary

Addresses

Primary practice location

8615 Florence Ave Ste 212
Downey, CA 90240-4037

Mailing address

5175 Melbourne PL
Riverside, CA 92508-6053
Phone (559) 308-5164

Other practice location 1

1506 S Court St
Visalia, CA 93277-4914
Phone (559) 308-5164

Other identifiers 1

IdentifierTypeStateIssuer
1659815496OtherCANPI

Other names 1

  • Jennifer J Sherwood Former name

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
8407CAMDSpecialist
RE8407CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1659815496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5175 MELBOURNE PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925086053",
            "telephone_number": "559-308-5164",
            "fax_number": "888-502-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 FLORENCE AVE STE 212",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404037",
            "telephone_number": "559-308-5164",
            "fax_number": "888-502-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 S Court St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774914",
            "country_code": "US",
            "telephone_number": "559-308-5164",
            "fax_number": "888-502-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSWICK",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "R.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "8407",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "RE8407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659815496",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHERWOOD",
            "middle_name": "J",
            "credential": "R.E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.