FRED JEFFERSON 142
NPI 1023551900
Residential Treatment Facility, Emotionally Disturbed Children in Compton, CA

Q: What is Fred Jefferson's NPI number?

The NPI number for Fred Jefferson is 1023551900. It was assigned to this organization in the NPPES registry on November 28, 2016. The provider is doing business as Fred Jefferson 142.

Q: What is Fred Jefferson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Fred Jefferson was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2016

1448 E 142ND ST, COMPTON, CA 90222(310) 763-1660(310) 763-0357 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fred Jefferson 142 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED JEFFERSON 142 (NPI 1023551900) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Compton, California and active in the NPI registry since November 2016. The organization lists Darryl Sewell, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1023551900

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameFRED JEFFERSON

Location Address1448 E 142ND STCompton, CA 90222-3702

Mailing Address1448 E 142nd StCompton, CA 90222-3702 · (310) 929-0738 · Fax (310) 763-0357

Phone(310) 763-1660

Fax(310) 763-0357

Organization SubpartNo

Authorized OfficialDarryl SewellChief Administrative Officer · (310) 929-0738

Enumeration DateNovember 28, 2016

Last NPPES UpdateJanuary 27, 2017

✔ NPI 1023551900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

1448 E 142ND ST, Compton, CA 90222

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Other Names 1

Doing Business AsFred Jefferson 142

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRED JEFFERSON MEMORIAL HOME FOR BOYS

Case Management

1448 E 142ND ST
COMPTON, CA 90222

Los Angeles County (310) 604-0595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Jefferson's NPI number?

The NPI number for Fred Jefferson is 1023551900. It was assigned to this organization in the NPPES registry on November 28, 2016. The provider is doing business as Fred Jefferson 142.

Where is Fred Jefferson located?

Fred Jefferson is located at 1448 E 142nd St, Compton, CA 90222. The listed phone number is (310) 763-1660.

What is Fred Jefferson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Fred Jefferson was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.