Active NPI
Damonte Jones, BACHELORS, MPHC
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1750974564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- P000031544
- Practice address
- 234 S Kenmore Ave
Los Angeles, CA 90004-5654 - Phone
- (213) 291-7022
- NPI assigned
- Feb 12, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | P000031544 | CA | Primary |
Addresses
Primary practice location
234 S Kenmore Ave
Los Angeles, CA 90004-5654
Mailing address
234 S Kenmore Ave
Los Angeles, CA 90004-5654
Phone (213) 291-7022
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 |
|---|---|---|---|
| P000031544 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1750974564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 S KENMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900045654",
"telephone_number": "213-291-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 S KENMORE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900045654",
"telephone_number": "213-291-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DAMONTE",
"credential": "BACHELORS, MPHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-12",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "P000031544",
"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 Jan 31, 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.