Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JARED CARTER NELSON
NPI 1972104552
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since November 02, 2020
9100 S SEPULVEDA BLVD STE 105, LOS ANGELES, CA 90045(310) 644-3659 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, May 29, 2025, Nov 2, 2020 (3 updates tracked since 2020).

About Jared Carter Nelson NPPES

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

JARED CARTER NELSON (NPI 1972104552) is an individual student in an organized health care education/training program in Los Angeles, California, licensed in California (13019) and active in the NPI registry since November 2020. He maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1972104552
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARED CARTER NELSON
Location Address9100 S SEPULVEDA BLVD STE 105Los Angeles, CA 90045-4849
Mailing Address4215 Don Tomaso Dr Apt 15Los Angeles, CA 90008-5344 · (831) 809-6659
Sole ProprietorNo
Enumeration DateNovember 2, 2020
Last NPPES UpdateAugust 6, 20263 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1972104552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 13019
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.
9100 S SEPULVEDA BLVD STE 105, Los Angeles, CA 90045

Secondary Practice Location 1

Location 11334 Post AveTorrance, CA 90501-2620 · Phone (310) 328-1460

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
9100 S SEPULVEDA BLVD STE 105
LOS ANGELES, CA 90045
Community/Behavioral Health
9100 S SEPULVEDA BLVD STE 105
LOS ANGELES, CA 90045

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 Jared Nelson's NPI number?

The NPI number for Jared Nelson is 1972104552. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Jared Nelson located?

Jared Nelson practices at 9100 S Sepulveda Blvd Ste 105, Los Angeles, CA 90045. The listed phone number is (310) 644-3659.

What is Jared Nelson'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 Jared Nelson was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.