J & M Laurel Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

J & M LAUREL MEDICAL CENTER INC

Practice address

13680 Van Nuys Blvd
Pacoima, CA 91331-3616

Phone

(818) 897-7730

Fax

(818) 897-7831

NPI assigned

Oct 1, 2020

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jahanbakhsh Nouri, MDNPI 1366501629

Title

President

Phone

(818) 897-7730

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jahanbakhsh Nouri, M.D

  • General Practice Physician
  • Arleta, CA
  • NPI 1366501629
  Medicare reassignment Care Compare group NPD Authorized official
• Manoutcher Khalili, MD

  • Family Medicine Physician
  • Gardena, CA
  • NPI 1861446841
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1174120349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13680 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313616",
            "telephone_number": "818-897-7730",
            "fax_number": "818-897-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13680 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313616",
            "telephone_number": "818-897-7730",
            "fax_number": "818-897-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & M LAUREL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "NOURI",
        "authorized_official_first_name": "JAHANBAKHSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-897-7730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucy Indoian, RN
• Michelle Iniguez
• Myra Kathleen Irani, M.A.
• Sara Nasser Issa, LMFT
• Taryn Danielle Iwamoto
• J. Manuel Gonzalez-Diaz M.D.
• J. V. Therapy Services Inc.
• Arianna Jacinto
• Kavindra M Jacobs
• Shuka Jahromifar

• General Practice Physician in Pacoima, CA
• Providers in Pacoima, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.