Active NPI
Stacey Jean-Pierre, PA-C
- Physician Assistant
- Bellflower, CA
National Provider Identifier
1912300690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52021
- Practice address
- 10234 Rosecrans Ave
Bellflower, CA 90706-2602 - Phone
- (562) 354-5847
- NPI assigned
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52021 | CA | Primary |
Addresses
Primary practice location
10234 Rosecrans Ave
Bellflower, CA 90706-2602
Mailing address
127 S San Vicente Blvd
Suite A6600
Los Angeles, CA 90048-3311
Phone (424) 315-2360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52021 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1912300690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S SAN VICENTE BLVD",
"address_2": "SUITE A6600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483311",
"telephone_number": "424-315-2360",
"fax_number": "310-423-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10234 ROSECRANS AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907062602",
"telephone_number": "562-354-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "STACEY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
- Wilma Cynthia Guevara Jaojoco, NURSE PRACTITIONER
- Rowena Guevarra Javier, MD
- Madhangi Jayaraman, MD
- Amali Samantha Jayasinghe-Cooray, M.D.
- Ireshka Dilushini Jayasundera
- Shahrokh Moshe Jedian, D.D.S.
- Jennifer Shin DDS Inc
- Bermarie Jerez
- Jessica Ilagan Avergonzado,D.D.S., Inc
- Jesusa N Romero MD a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.