Jonathan Andrew Prince, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A90191 Issued in CA

Practice address

18321 Clark St
Tarzana, CA 91356-3501

Phone

(818) 708-5170

Fax

(818) 705-2595

NPI assigned

Jul 26, 2006

Last updated

Jun 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medlink Mobile

  • Health Service Clinic/Center
  • Van Nuys, CA
  • NPI 1083448310
  Medicare reassignment
• Radiology Associates of South Carolina LLC

  dba Northern Light Radiology Associates

  • Diagnostic Radiology Physician
  • Greenville, SC
  • NPI 1083491906
  NPD
• West Virginia Radiology Associates PC

  dba Northern Light Radiology Associates

  • Diagnostic Radiology Physician
  • Charleston, WV
  • NPI 1093550915
  NPD
• Emergency Medical Services Group

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1336162726
  NPD (past)
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103
  NPD (past)
• Florida Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1497510978
  NPD (past)
• Memphis Vascular Specialists PC

  • Vascular & Interventional Radiology Physician
  • Memphis, TN
  • NPI 1285211623
  NPD (past)
• Pennsylvania Radiology Associates PC

  • Diagnostic Radiology Physician
  • Windber, PA
  • NPI 1184443921
  NPD (past)
• Radiology Associates of North Carolina PC

  • Diagnostic Radiology Physician
  • Asheboro, NC
  • NPI 1841015245
  NPD (past)
• Radiology Associates of Texas PA

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1265253256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1003830118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660640",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660640",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5170",
            "fax_number": "818-705-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A90191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A901910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prestige Surgical Center LLC
• Ruben Preuss, LMFT
• Jamey Price
• Jeffrey William Priess
• Prime Home Care Services Inc
• Pristine Recovery Inc
• Pro-Choice Hospice, Inc.
• Proactive Pediatric Physical Therapy
• Procare Medical Group Inc
• Professional Solutions Home Health, Inc.

• Emergency Medicine Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.