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JEFFERY YOUNGBLOOD
NPI 1154199925
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since December 12, 2023
505 S PACIFIC AVE, SAN PEDRO, CA 90731(310) 519-8723 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffery Youngblood NPPES

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

JEFFERY YOUNGBLOOD (NPI 1154199925) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R1521360823) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1154199925
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEFFERY YOUNGBLOOD
Location Address505 S PACIFIC AVESan Pedro, CA 90731-2656
Mailing Address636 W 8th St Apt 6San Pedro, CA 90731-3194
Phone(310) 519-8723
Sole ProprietorNo
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1154199925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1521360823
505 S PACIFIC AVE, San Pedro, CA 90731
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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.

MULTICARE MEDICAL CENTER CORP
Internal Medicine
505 S PACIFIC AVE, SUITE #201
SAN PEDRO, CA 90731
Los Angeles County (424) 570-6960
GINA HERNANDEZ
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
JOHN ZIVKOVIC
Peer Specialist
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (562) 319-8723
LENA INEZ PAULOS
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
KELLY SWEARINGEN
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 510-8723
MRS. MARGARET LENTZ REAVEY
Counselor
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 831-2358
LISA TOVES
Counselor (Addiction (Substance Use Disorder))
505 S PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723
FRED BROWN'S RECOVERY SERVICES, INC.
Case Manager/Care Coordinator
505 S PACIFIC AVE, 103-106 & 205-206
SAN PEDRO, CA 90731
Los Angeles County (310) 519-8723

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 Jeffery Youngblood's NPI number?

The NPI number for Jeffery Youngblood is 1154199925. It was assigned to this individual provider in the NPPES registry on December 12, 2023.

Where is Jeffery Youngblood located?

Jeffery Youngblood practices at 505 S Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 519-8723.

What is Jeffery Youngblood's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeffery Youngblood was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.