Active NPI
Julieta Miguel
- Peer Specialist
- Los Angeles, CA
National Provider Identifier
1831488097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-IWKLHB
- Practice address
- 711 S New Hampshire Ave
Los Angeles, CA 90005-1831 - Phone
- (212) 385-5100
- Fax
- (213) 252-5757
- NPI assigned
- Mar 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | MPSS-IWKLHB | CA | Primary |
Addresses
Primary practice location
711 S New Hampshire Ave
Los Angeles, CA 90005-1831
Mailing address
2121 W Temple St
Los Angeles, CA 90026-4915
Phone (212) 385-5100
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 |
|---|---|---|---|
| MPSS-IWKLHB | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1831488097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 W TEMPLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264915",
"telephone_number": "212-385-5100",
"fax_number": "213-252-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 S NEW HAMPSHIRE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900051831",
"telephone_number": "212-385-5100",
"fax_number": "213-252-5757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGUEL",
"first_name": "JULIETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-IWKLHB",
"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 May 23, 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.