MS. JACQUELYN ROXANA BLANCO
NPI 1265869747
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since September 30, 2013
333 S BEAUDRY AVE, LOS ANGELES, CA 90017(213) 241-3841(213) 241-3305 Get Directions Write a Review

NPPES record last updated: April 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2018, Apr 20, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Ms. Jacquelyn Roxana Blanco NPPES

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

MS. JACQUELYN ROXANA BLANCO (NPI 1265869747) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since September 2013. She maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1265869747
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. JACQUELYN ROXANA BLANCO
Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466
Mailing Address333 S Beaudry AveLos Angeles, CA 90017 · (213) 241-3841 · Fax (213) 241-3305
Fax(213) 241-3305
Sole ProprietorNo
Enumeration DateSeptember 30, 2013
Last NPPES UpdateApril 23, 20185 updates tracked since enumeration
NPI 1265869747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
333 S BEAUDRY AVE, Los Angeles, CA 90017

Secondary Practice Location 1

Location 1130 W Victoria StGardena, CA 90248-3523 · Phone (310) 715-2020

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.

Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Speech-Language Pathologist
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Student in an Organized Health Care Education/Training Program
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017
Social Worker (Clinical)
333 S BEAUDRY AVE
LOS ANGELES, CA 90017

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 Jacquelyn Blanco's NPI number?

The NPI number for Jacquelyn Blanco is 1265869747. It was assigned to this individual provider in the NPPES registry on September 30, 2013.

Where is Jacquelyn Blanco located?

Jacquelyn Blanco practices at 333 S Beaudry Ave, Los Angeles, CA 90017. The listed phone number is (213) 241-3841.

What is Jacquelyn Blanco's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacquelyn Blanco was last updated on April 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.