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JACQUELINE BLAIR NEILL MD
NPI 1407476690
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 17, 2020PECOS Enrolled
1200 N STATE ST BLDG A7D, LOS ANGELES, CA 90033(323) 442-9064 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacqueline Blair Neill Md NPPES

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

JACQUELINE BLAIR NEILL MD (NPI 1407476690) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407476690
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUELINE BLAIR NEILLCredential: MD
Location Address1200 N STATE ST BLDG A7DLos Angeles, CA 90033-1029
Mailing Address4760 Merlendale DrAtlanta, GA 30327-4930 · (404) 372-5642
Phone(323) 442-9064
Sole ProprietorNo
Enumeration DateApril 17, 2020
NPPES CertifiedApril 17, 2020
✔ NPI 1407476690 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.
1200 N STATE ST BLDG A7D, 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)

Jacqueline Blair Neill Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jacqueline Neill's NPI number?

The NPI number for Jacqueline Neill is 1407476690. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Jacqueline Neill located?

Jacqueline Neill practices at 1200 N State St Bldg A7d, Los Angeles, CA 90033. The listed phone number is (323) 442-9064.

What is Jacqueline Neill's specialty?

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

Is Jacqueline Neill enrolled in Medicare?

Yes. Jacqueline Neill is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Neill was last updated on April 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.