Jake Timothy Plewa, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC001875 Issued in CA

Practice address

200 UCLA Medical PLZ Ste 120
Los Angeles, CA 90095-3441

Phone

(408) 510-9802

NPI assigned

Sep 9, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Regents of the University of California

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1235107566
  NPD (past)
• UCLA Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1043427248
  NPD (past)

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1669208674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 GAYLEY AVE STE 391",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243441",
            "telephone_number": "408-510-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953441",
            "telephone_number": "408-510-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEWA",
        "first_name": "JAKE",
        "middle_name": "TIMOTHY",
        "credential": "CGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharisse C Pledger
• Charles R. Plehn, MD
• Cynthia L Plehn, CRNA
• Dennis Michael Pleimann, L.M.F.T.
• Tamara Silva Vera Pleshakov, D.O.
• Mirno Antonio Pliego-Quiroz
• Katie Ann Plimpton, MA
• Steven Reed Plimpton, MD, MS
• Sondra -------------------- Plone, PH.D.
• Shannon Plosser, DPT

• Genetic Counselor (M.S.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.