Janice Gregory, R.N., P.H.N.

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

450740 Issued in CA

Practice address

1300 W 155TH St
103
Gardena, CA 90247-4048

Phone

(310) 512-8111

Fax

(310) 324-2111

NPI assigned

Nov 2, 2010

Sex

Female

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

Credentials

Registered Nurse

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.

• La County Department of Mental Health

  • Rehabilitation Practitioner
  • Gardena, CA
  • NPI 1508164328
  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1932409281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "103",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-512-8111",
            "fax_number": "310-324-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "103",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-512-8111",
            "fax_number": "310-324-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "JANICE",
        "credential": "R.N., P.H.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "450740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dani Lynn Greene
• Greenfield Care Center of Gardena
• Georgette Louise Greer-Brewer, LMFT
• Cameron Gregg
• Clifford Rene Gregory, TRANSPORTATION
• Sharondeep Grewall
• Cynthia Griffin, SUD COUNSELOR III
• Janae Griffin
• Jaqueline Grijalva
• Stacy Grimaldo

• Adult Psychiatric/Mental Health Registered Nurse in Gardena, CA
• Providers in Gardena, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.