Jerez Jupillo

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

3025 Issued in CA

Practice address

470 S Gilbuck Dr
Anaheim, CA 92802-1333

Phone

(714) 612-7467

NPI assigned

Sep 4, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jay Jupillo Other name

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1831567932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 S GILBUCK DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021333",
            "telephone_number": "714-612-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 S GILBUCK DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021333",
            "telephone_number": "714-612-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUPILLO",
        "first_name": "JEREZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "3025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAY",
            "last_name": "JUPILLO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Love Jung, L.AC
• Peter Su Jung, DC
• Song Woo Jung, DDS
• Yongwoo Jung
• Yura Jung
• Joseph Alan Jusak Jr.
• Elena Guennadievna Justice, DDS
• Justin Duc Tien Tran Professional Corporation
• Zerly Monica Justiniano
• Carol Justis, NP

• Skilled Nursing Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.