MR. JERRY LAMONT BROWN PHYSICIAN ASSISTANT
NPI 1497895049
Physician Assistant - Surgical in Los Angeles, CA
About Mr. Jerry Lamont Brown Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERRY LAMONT BROWN PHYSICIAN ASSISTANT (NPI 1497895049) is an individual surgical provider in Los Angeles, California, licensed in California (1037115) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jerry Lamont Brown Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LOS ANGELES, CA 90059
LOS ANGELES, CA 90059
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 Brown's NPI number?
The NPI number for Jerry Brown is 1497895049. It was assigned to this individual provider in the NPPES registry on February 6, 2007.
Where is Jerry Brown located?
Jerry Brown practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-4287.
What is Jerry Brown's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jerry Brown enrolled in Medicare?
Yes. Jerry Brown is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jerry Brown was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Jerry Lamont Brown, PHYSICIAN ASSISTANT · NPI 1497895049
Surgical physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1497895049 (Entity type: Individual)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 1037115 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12021 WILMINGTON AVE, Los Angeles, CA 90059-3019
- **Phone:** (310) 668-4287
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1497895049) · Data from the CMS NPPES public registry.