Active NPI
Jamellow LLC
- Clinical Medical Laboratory
- Tustin, CA
National Provider Identifier
1861566762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- C24667
- Legal business name
- JAMELLOW LLC
- Doing business as
- West Coast Sleep Centers
- Practice address
- 1131 E Main St
Suite 109
Tustin, CA 92780-4416 - Phone
- (951) 205-7103
- NPI assigned
- Nov 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ludlow Creary, MD
- Title
- Partner
- Phone
- (951) 695-9648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | C24667 | CA | Primary |
Addresses
Primary practice location
1131 E Main St
Suite 109
Tustin, CA 92780-4416
Mailing address
27574 Commerce Center Dr
Suite 236
Temecula, CA 92590-2500
Phone (951) 695-9648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C24667 | Other | CA | MEDICAL LICENSE |
Other names 1
- West Coast Sleep Centers
National Provider Directory
National Provider DirectoryLocations
27574 Commerce Center Dr
Ste 236
Temecula, CA 92590
Phone (951) 695-9648
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Temecula, CA
- NPI 1881631414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861566762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27574 COMMERCE CENTER DR",
"address_2": "SUITE 236",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902500",
"telephone_number": "951-695-9648",
"fax_number": "951-695-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 E MAIN ST",
"address_2": "SUITE 109",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927804416",
"telephone_number": "951-205-7103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMELLOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CREARY",
"authorized_official_first_name": "LUDLOW",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "951-695-9648",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "C24667",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "C24667",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "West Coast Sleep Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.