Active NPI
JL Medeiros & Co
- Internal Medicine Physician
- Encino, CA
National Provider Identifier
1124352158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- JL MEDEIROS & CO
- Practice address
- 16060 Ventura Blvd
Ste 105-507
Encino, CA 91436-2761 - Phone
- (661) 229-6226
- NPI assigned
- Sep 23, 2009
- 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
- Michael Ma
- Title
- Ceo
- Phone
- (661) 229-6226
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CA | Primary |
Addresses
Primary practice location
16060 Ventura Blvd
Ste 105-507
Encino, CA 91436-2761
Mailing address
16060 Ventura Blvd
Ste 105-507
Encino, CA 91436-2761
National Provider Directory
National Provider DirectoryLocations
16060 Ventura Blvd
Ste 105507
Encino, CA 91436
Phone (661) 229-6226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253664000000",
"number": "1124352158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16060 VENTURA BLVD",
"address_2": "STE 105-507",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16060 VENTURA BLVD",
"address_2": "STE 105-507",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362761",
"telephone_number": "661-229-6226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JL MEDEIROS & CO",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A",
"authorized_official_last_name": "MA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "661-229-6226"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.