Organization Active NPI

Jilbert Daniel Issai, a Professional Medical Corporation

  • Internal Medicine Physician
  • Sunland, CA
National Provider Identifier
1013336544
Registry record updated Apr 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75925 Issued in CA
Legal business name
JILBERT DANIEL ISSAI, A PROFESSIONAL MEDICAL CORPORATION
Practice address
10050 La Canada Way
Sunland, CA 91040-1619
Phone
(818) 437-1744
NPI assigned
Apr 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2014

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

Authorized official

Name
Jilbert Daniel Issai
Title
Owner
Phone
(818) 437-1744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A75925 CA Primary

Addresses

Primary practice location

10050 La Canada Way
Sunland, CA 91040-1619

Mailing address

10050 La Canada Way
Sunland, CA 91040-1619

Other identifiers 1

IdentifierTypeStateIssuer
A75925OtherCACALIFORNIA MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

501 S Buena Vista St
Ste 3
Burbank, CA 91505
Phone (818) 352-6515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397347200000",
    "number": "1013336544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 LA CANADA WAY",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 LA CANADA WAY",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401619",
            "telephone_number": "818-437-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILBERT DANIEL ISSAI, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-13",
        "last_updated": "2014-04-13",
        "status": "A",
        "authorized_official_last_name": "ISSAI",
        "authorized_official_first_name": "JILBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-437-1744"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A75925",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.