Jared Matthew McConnell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

13800 Heacock St
Moreno Valley, CA 92553-3339

Phone

(951) 653-0819

Fax

(951) 656-2614

NPI assigned

Apr 6, 2009

Last updated

Mar 15, 2011By the provider in NPPES

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

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1912149923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28767 MARK RD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925556500",
            "telephone_number": "951-533-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533339",
            "telephone_number": "951-653-0819",
            "fax_number": "951-656-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "JARED",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra McBride
• Sean Johnston McCarthy, MD
• Douglas Gordon McCarty I, PHYSICAN ASSISTANT
• Lisa Marie McClain, RCP RRT RRT SDS
• Meghan McConaghy
• Ronald Jeffrey McCowan, M.D.
• Sheatrice McCullough
• James McDermott, MD
• Christina McEligot, NP
• Kendra Virgina McGowan

• Case Manager/Care Coordinator in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.