Organization Active NPI

JDS Medical Billing Services

  • Contractor
  • Baldwin Park, CA
National Provider Identifier
1669639241
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
991572 Issued in CA
Legal business name
JDS MEDICAL BILLING SERVICES
Practice address
3113 Big Dalton Ave
Unit B
Baldwin Park, CA 91706-5106
Phone
(626) 475-2296
Fax
(626) 962-7371
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Erenea Dar Juan VillanuevaNPI 1376700872
Title
Owner
Phone
(626) 475-2296

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 991572 CA Primary

Addresses

Primary practice location

3113 Big Dalton Ave
Unit B
Baldwin Park, CA 91706-5106

Mailing address

3113 Big Dalton Ave
Unit B
Baldwin Park, CA 91706-5106
Phone (626) 475-2296

Other identifiers 1

IdentifierTypeStateIssuer
991572OtherCABUSINESS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1669639241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 BIG DALTON AVE",
            "address_2": "UNIT B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065106",
            "telephone_number": "626-475-2296",
            "fax_number": "626-962-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 BIG DALTON AVE",
            "address_2": "UNIT B",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065106",
            "telephone_number": "626-475-2296",
            "fax_number": "626-962-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDS MEDICAL BILLING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "VILLANUEVA",
        "authorized_official_first_name": "ERENEA",
        "authorized_official_middle_name": "DAR JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-475-2296",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "991572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "991572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.