Jacob Berumen
Nurse Practitioner (Occupational Health)

Address: 1134 Lemoyne St, Los Angeles, CA 90026-3207
Phone: 3238207008

Jacob Berumen (NPI# 1932707114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1932707114
Entity Type Individual
Full Name Jacob Berumen
Credential NP
Gender Male
Practice Address 1134 Lemoyne St
Los Angeles
CA 90026-3207
Practice Telephone 3238207008
Mailing Address 1134 Lemoyne St
Los Angeles
CA 90026-3207
Mailing Telephone 3238207008
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-11
Last Update Date 2020-10-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LX0106X Nurse Practitioner · Occupational Health Physician Assistants & Advanced Practice Nursing Providers 95015306 CA

Taxonomy Information

Taxonomy Code 363LX0106X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Occupational Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 1134 LEMOYNE ST
City LOS ANGELES
State CA
Zip Code 90026-3207

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1013402478 Guillermo Gonzalez Lopez Social Worker La Cada, 1773 Griffith Park, Los Angeles, CA 90026 2018-06-28
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1326598079 Yen-chen Chen Speech-Language Pathologist 2836 Sunset Blvd., Los Angeles, CA 90026 2016-10-06
1386038446 Grace Ann M Navos Physical Therapy Assistant 2708 Glassell St, Los Angeles, CA 90026 2015-03-26
1619394160 Mary Ann Flores Topico Nurse Practitioner 1379 Angelina St., Los Angeles, CA 90026 2014-03-22
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Competitor

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City LOS ANGELES
Zip Code 90026

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.