Jacqueline Vinacha Jankaew, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

NP95014608 Issued in CA

Practice address

501 E Hardy St Ste 430
Inglewood, CA 90301-4069

Phone

(310) 680-6850

Fax

(310) 330-8638

NPI assigned

Sep 8, 2020

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1780298695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST STE 430",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014069",
            "telephone_number": "310-680-6850",
            "fax_number": "310-330-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E HARDY ST STE 430",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014069",
            "telephone_number": "310-680-6850",
            "fax_number": "310-330-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKAEW",
        "first_name": "JACQUELINE",
        "middle_name": "VINACHA",
        "name_prefix": "Miss",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95014608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.