Jonathan Robert Drysdale, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C53570 Issued in CA

Practice address

2208 W 7TH St
Los Angeles, CA 90057-4002

Phone

(213) 384-3434

Fax

(213) 386-2039

NPI assigned

May 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1043444854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10432",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133432",
            "telephone_number": "213-637-2530",
            "fax_number": "213-384-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 W 7TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574002",
            "telephone_number": "213-384-3434",
            "fax_number": "213-386-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYSDALE",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C53570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Katherine Drury, LCSW 75824
• Matthew Benjamin Druyen, LMFT
• DRV Medical Inc
• Sarah Margaret Dry, MD
• Chere Brown Dryden, MAPT
• DS Medical Group Inc
• Shane Dsouza, PHARM.D.
• Daisy Dsul
• Dtla Dental & Implant, a Prof. Dental Office Corp.
• Dtla Gynecology

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.