Organization Active NPI

Jamellow LLC

  • Clinical Medical Laboratory
  • Tustin, CA
National Provider Identifier
1861566762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
C24667 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C24667OtherCAMEDICAL LICENSE

Other names 1

  • West Coast Sleep Centers Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.