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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JERRY ELIJAH MCCLELLAN JR.
NPI 1275469538
Peer Specialist in Hawthorne, CA

Active since June 23, 2026
2501 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250(323) 754-2816 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Elijah Mcclellan Jr. NPPES

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

JERRY ELIJAH MCCLELLAN JR. (NPI 1275469538) is an individual peer specialist in Hawthorne, California, licensed in California (MPSS-JIFPUM) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1275469538
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY ELIJAH MCCLELLAN JR.
Location Address2501 W EL SEGUNDO BLVDHawthorne, CA 90250-3317
Mailing Address2501 W El Segundo BlvdHawthorne, CA 90250-3317 · (323) 754-2816
Phone(323) 754-2816
Sole ProprietorYes
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1275469538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in CA · MPSS-JIFPUM
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2501 W EL SEGUNDO BLVD, Hawthorne, CA 90250
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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.

JANA MCCANDLESS
Counselor (Addiction (Substance Use Disorder))
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 754-2816
LINDA FORSTER
Community Based Residential Treatment Facility, Mental Illness
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 679-9126
MAGAHA K MADU
Nurse Practitioner (Family)
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (310) 808-8495
SHANE MCCRARY
Case Manager/Care Coordinator
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 754-2816
WILLIAM DAVIES PSYD
Counselor (Addiction (Substance Use Disorder))
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (319) 512-4114
BRENDA MENDEZ
Counselor (Mental Health)
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 754-2816
CHRISTINA MARIE MOINE
Peer Specialist
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (323) 754-2816
PAT O CROSBY LVN
Licensed Vocational Nurse
2501 W EL SEGUNDO BLVD
HAWTHORNE, CA 90250
Los Angeles County (562) 310-1512

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 Jerry Mcclellan's NPI number?

The NPI number for Jerry Mcclellan is 1275469538. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Jerry Mcclellan located?

Jerry Mcclellan practices at 2501 W El Segundo Blvd, Hawthorne, CA 90250. The listed phone number is (323) 754-2816.

What is Jerry Mcclellan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Mcclellan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.