Individual provider Active NPI

Jacob Jay Lorber, MD

  • General Practice Physician
  • Northridge, CA
National Provider Identifier
1043360225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G13948 Issued in CA
Practice address
10453 Yolanda Ave
Northridge, CA 91326-3439
Phone
(818) 368-9087
Fax
(818) 368-9087
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X G13948 CA Primary

Addresses

Primary practice location

10453 Yolanda Ave
Northridge, CA 91326-3439

Mailing address

10453 Yolanda Ave
Northridge, CA 91326-3439
Phone (818) 368-9087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G13948CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043360225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10453 YOLANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263439",
            "telephone_number": "818-368-9087",
            "fax_number": "818-368-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10453 YOLANDA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913263439",
            "telephone_number": "818-368-9087",
            "fax_number": "818-368-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORBER",
        "first_name": "JACOB",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G13948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.