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JACOB THOMAS SHELTON
NPI 1306711494
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since October 08, 2025
155 BIMINI PL, LOS ANGELES, CA 90004(213) 388-5423 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Thomas Shelton NPPES

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

JACOB THOMAS SHELTON (NPI 1306711494) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1306711494
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB THOMAS SHELTON
Location Address155 BIMINI PLLos Angeles, CA 90004-5902
Mailing Address155 Bimini PlLos Angeles, CA 90004-5902 · (213) 388-5423
Phone(213) 388-5423
Sole ProprietorYes
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1306711494 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.
155 BIMINI PL, Los Angeles, CA 90004
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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.

JESSICA ANGELA SOLIS SUDCR#16758
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
ELDA NALLELI ROCHA
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
AMANDA LAFFERRE
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
EFREM LOUIS REED
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
ADRIAN ENRIQUE CACERES
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 281-1408
ADRIAN STEPHEN PARDO
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
SAUL CAMPOS
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423
RILIND MCNAMARA
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Los Angeles County (213) 388-5423

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 Jacob Shelton's NPI number?

The NPI number for Jacob Shelton is 1306711494. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Jacob Shelton located?

Jacob Shelton practices at 155 Bimini Pl, Los Angeles, CA 90004. The listed phone number is (213) 388-5423.

What is Jacob Shelton'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 Jacob Shelton was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.