Active NPI
Jacob Rispler MD a Professional Corporation
- Procedural Dermatology Physician
- Covina, CA
National Provider Identifier
1093010480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- G33285
- Legal business name
- JACOB RISPLER MD A PROFESSIONAL CORPORATION
- Practice address
- 246 W College St
3Rd Floor
Covina, CA 91723-1910 - Phone
- (626) 915-1911
- Fax
- (626) 915-2668
- NPI assigned
- Jan 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Rispler, M.D.
- Title
- President
- Phone
- (626) 915-1911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | G33285 | CA | Primary |
Addresses
Primary practice location
246 W College St
3Rd Floor
Covina, CA 91723-1910
Mailing address
246 W College St
3Rd Floor
Covina, CA 91723-1910
Phone (626) 915-1911
National Provider Directory
National Provider DirectoryLocations
3140 Red Hill Ave
Ste 250
Costa Mesa, CA 92626
Phone (949) 757-1585
246 W College St
Fl 3RD
Covina, CA 91723
Phone (626) 915-1911
1400 Reynolds Ave
#101
Irvine, CA 92614
Phone (626) 915-1911
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295222400000",
"number": "1093010480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 W COLLEGE ST",
"address_2": "3RD FLOOR",
"city": "COVINA",
"state": "CA",
"postal_code": "917231910",
"telephone_number": "626-915-1911",
"fax_number": "626-915-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 W COLLEGE ST",
"address_2": "3RD FLOOR",
"city": "COVINA",
"state": "CA",
"postal_code": "917231910",
"telephone_number": "626-915-1911",
"fax_number": "626-915-2668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB RISPLER MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-17",
"last_updated": "2011-01-17",
"status": "A",
"authorized_official_last_name": "RISPLER",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-915-1911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G33285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.