Organization Active NPI

JPM Elite Medical Clinic Inc

  • Internal Medicine Physician
  • Granada Hills, CA
National Provider Identifier
1053256040
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JPM ELITE MEDICAL CLINIC INC
Practice address
17543 Chatsworth St # 103
Granada Hills, CA 91344-5720
Phone
(818) 617-9909
NPI assigned
Apr 23, 2026
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
John McKenzie III, MDNPI 1366422685
Title
MD
Phone
(818) 809-7667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17543 Chatsworth St # 103
Granada Hills, CA 91344-5720

Mailing address

17543 Chatsworth St # 103
Granada Hills, CA 91344-5720

National Provider Directory

National Provider Directory

Locations

17543 Chatsworth St
#103
Granada Hills, CA 91344
Phone (818) 617-9909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1053256040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17543 CHATSWORTH ST # 103",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17543 CHATSWORTH ST # 103",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445720",
            "telephone_number": "818-617-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPM ELITE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "818-809-7667",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.