Dr. Jeffry Persons

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

24326 Issued in CA

Legal business name

DR. JEFFRY PERSONS

Practice address

1442 Irvine Blvd
225
Tustin, CA 92780-3801

Phone

(714) 544-6345

NPI assigned

Feb 26, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Wong

Title

Manager

Phone

(714) 544-6345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1699190710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "225",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-544-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 IRVINE BLVD",
            "address_2": "225",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803801",
            "telephone_number": "714-544-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFRY PERSONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-544-6345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "24326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Tustin, CA
• Providers in Tustin, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.