Mary Ann Jabat

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

23314 Issued in CA

Practice address

3655 Nobel Dr
Suite 660
San Diego, CA 92122-1003

Phone

(888) 435-6500

NPI assigned

Nov 7, 2013

Sex

Female

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)

Not enrolled

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1093144289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 DEL AMO BLVD",
            "address_2": "APT 314",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907151732",
            "telephone_number": "562-860-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NOBEL DR",
            "address_2": "SUITE 660",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221003",
            "telephone_number": "888-435-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABAT",
        "first_name": "MARY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Moody, DDS, a Professional Corporation (Affordable Dentures & Implants - San Diego-Kearney Mesa)
• J. Richard Shih, DDS. Inc. (EZsmile Dental)
• Dilaram S Jabari
• Mona Lisa Jabari
• Carol Jabasa, RDN
• Sawaira Jabbar
• Wiam Jabbar, DDS
• Siavash Jabbari, MD
• Alex Nicholas Jabbour, MS
• Moussa Jabbour, M.D.

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.