Active NPI
Jacob Peter Brown McGowin
- Counselor
- Los Angeles, CA
National Provider Identifier
1710465265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CI35570422
- Practice address
- 360 S Westlake Ave
Los Angeles, CA 90057-2906 - Phone
- (213) 483-9201
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CI35570422 | CA | Primary |
Addresses
Primary practice location
360 S Westlake Ave
Los Angeles, CA 90057-2906
Mailing address
2416 Bellevue Ave Apt 205
Los Angeles, CA 90026-3940
Phone (818) 749-8288
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI35570422 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1710465265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2416 BELLEVUE AVE APT 205",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900263940",
"telephone_number": "818-749-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S WESTLAKE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572906",
"telephone_number": "213-483-9201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGOWIN",
"first_name": "JACOB",
"middle_name": "PETER BROWN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "CI35570422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.