Jmk Community Health Center, Inc
NPI 1083155824ActiveOrganization· Nurse Practitioner, Family· Gardena, CA
Nurse Practitioner, Family in Gardena, California, registered in NPPES in March 2017. The authorized official on file is Jeanette Monique Kidd, FNP-C, Ceo.
Overview
| NPI | 1083155824 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2017 |
| Last updated in NPPES | Nov 6, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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