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JEFFREY JEAN
NPI 1134680473
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 28, 2019PECOS Enrolled
2051 MARENGO ST, LOS ANGELES, CA 90033(323) 442-1179 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeffrey Jean NPPES

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

JEFFREY JEAN (NPI 1134680473) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134680473
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY JEAN
Location Address2051 MARENGO STLos Angeles, CA 90033-1352
Mailing Address1200 North State Street, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029 · (323) 442-1179
Phone(323) 442-1179
Sole ProprietorNo
Enumeration DateMarch 28, 2019
Last NPPES UpdateMarch 29, 2019
✔ NPI 1134680473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2051 MARENGO ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Jean is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Jean reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yosemite Pathology Medical Group, Inc
296 mi
Anatomic Pathology & Clinical Pathology
4301 N STAR WAY
Modesto, CA 95356
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
NPI 1598760985 (209) 577-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ISHAQUE ALI SYED M.D.
Internal Medicine
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3147
CANDICE MARIE PALMISANO CNS
Clinical Nurse Specialist
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8559
HAYLEY DAWN MORGAN
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7928
COUNTY OF LOS ANGELES
Psychiatric Unit
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-2800
SIDNEY STEPHEN SORRELL MD
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-1900
MR. PAUL ANDREW SCHMIDT
Respiratory Therapist, Registered (Neonatal/Pediatrics)
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3281
ALDONIA ANTOINETTE WYLIE SENIOR RCP
Respiratory Therapist, Registered
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (562) 385-7687
MAXIMIANO VILLALPANDO NP
Nurse Practitioner (Acute Care)
2051 MARENGO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5637

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 Jeffrey Jean's NPI number?

The NPI number for Jeffrey Jean is 1134680473. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Jeffrey Jean located?

Jeffrey Jean practices at 2051 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 442-1179.

What is Jeffrey Jean's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Jean enrolled in Medicare?

Yes. Jeffrey Jean is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Jean's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Jean reassigns Medicare benefits to Yosemite Pathology Medical Group, Inc (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Jean's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Jean was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.