Jeri Lorraine Maldonado, NURSE

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT30009 Issued in CA

Practice address

11331 Newgate Ave
Whittier, CA 90605-3724

Phone

(562) 941-8639

NPI assigned

Jul 25, 2006

Sex

Female

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

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962425413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11331 NEWGATE AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053724",
            "telephone_number": "562-941-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11331 NEWGATE AVE",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906053724",
            "telephone_number": "562-941-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JERI",
        "middle_name": "LORRAINE",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT30009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Mak, DC
• Aracely Maldonado
• Camila Sofia Maldonado
• Daisy Maldonado
• Daniela Isabel Maldonado
• Joseph Malhis, DO
• Talal M. Malhis, M.D.
• Christine Florence Mallette, AMFT
• Emily Ann Malm, NP
• Christina Mancilla

• Licensed Psychiatric Technician in Whittier, CA
• Providers in Whittier, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.