Organization Active NPI

Jason Snibbe MD Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1093072217
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A83463 Issued in CA
Legal business name
JASON SNIBBE MD PROFESSIONAL MEDICAL CORPORATION
Practice address
8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100
Phone
(310) 860-3048
Fax
(310) 550-7680
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Authorized official

Name
Jason Snibbe, M.D.
Title
Owner
Phone
(310) 860-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A83463 CA Primary

Addresses

Primary practice location

8436 W 3Rd St Ste 800
Los Angeles, CA 90048-4100

Mailing address

120 S Spalding Dr
Suite 401
Beverly Hills, CA 90212-1842
Phone (310) 860-3081

Other identifiers 1

IdentifierTypeStateIssuer
A83463OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1093072217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 401",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121842",
            "telephone_number": "310-860-3081",
            "fax_number": "310-652-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 W 3RD ST STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484100",
            "telephone_number": "310-860-3048",
            "fax_number": "310-550-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SNIBBE MD PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "SNIBBE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-860-3084",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A83463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A83463",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.