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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

On this page

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 and is a graduate of Other (2017).

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

Medical School CMSOtherGraduated 2017

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1658883509

PECOS Enrollment IDI20250625002630

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.

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