Jerry Ann Scales-Gradford

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

7636 Monterey Ave
Ceres, CA 95307-9542

Phone

(209) 596-7737

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1790436392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7636 MONTEREY AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079542",
            "telephone_number": "209-596-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7636 MONTEREY AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079542",
            "telephone_number": "209-596-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES-GRADFORD",
        "first_name": "JERRY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "address_1": "7636 Monterey Ave",
            "city": "Ceres",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953079542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lourdes Santos-Ortega
• Rosaisela Sarabia
• John Martin Sarhadi
• Satellite Healthcare Inc (Satellite Healthcare Ceres)
• Glenda Yvonne Saylor
• Janelle Schroen
• John Elijah Scott, D.C.
• Moniquea Lonetta Scott, LVN
• Tiffany Sellars, PHD
• Lilyana Elise Sengsoury

• Attendant Care Provider in Ceres, CA
• Providers in Ceres, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.