Jamal Brown

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

E074982 Issued in CA

Practice address

5150 Candlewood St Ste 17B
Lakewood, CA 90712-1927

Phone

(833) 224-2190

Fax

(833) 224-2191

NPI assigned

Sep 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reliance Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Lakewood, CA
  • NPI 1073095238
  NPD (past) Authorized official

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1891277018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 17B",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121927",
            "telephone_number": "833-224-2190",
            "fax_number": "833-224-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CANDLEWOOD ST STE 17B",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121927",
            "telephone_number": "833-224-2190",
            "fax_number": "833-224-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JAMAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E074982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel F Brodsky, D.D.S., M.S.
• Kimberly Broeker Agraviador, RN
• Ramir Brofas
• Barry L Brookins Jr.
• Erie Keyton Brown III, COUNSELOR
• Taylor Brown
• Tracy T Brunson-Hill
• Antiem Bui, D.O.
• Julie Bui
• Alicia M Bulin, NP

• Basic Emergency Medical Technician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Basic Emergency Medical Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.