NPIMap

Organization Active NPI

Jules Stein Institute Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1114372356
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JULES STEIN INSTITUTE MEDICAL GROUP
Practice address
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631
Phone
(310) 301-8707
Fax
(310) 301-8751
NPI assigned
Apr 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Bartly J Mondino, MD
Title
Chairman
Phone
(310) 825-5053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631

Mailing address

622 W Duarte Rd
Suite 101
Arcadia, CA 91007-7606
Phone (626) 254-9010

National Provider Directory

National Provider Directory
Tax ID family
March Gle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1114372356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077606",
            "telephone_number": "626-254-9010",
            "fax_number": "262-254-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707",
            "fax_number": "310-301-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULES STEIN INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "MONDINO",
        "authorized_official_first_name": "BARTLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "310-825-5053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 25, 2016; 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.