NPIMap

Organization Active NPI

Jonathan Nasseri MD Corp

Doing business as United Inpatient Consultants

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1194063529
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JONATHAN NASSERI MD CORP
Doing business as
United Inpatient Consultants
Practice address
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone
(805) 367-4477
NPI assigned
Jan 18, 2013
Last updated
Dec 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Jonathan Nasseri, MDNPI 1184669160
Title
President
Phone
(805) 905-1188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CA
Internal Medicine Physician 207R00000X CA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X CA

Addresses

Primary practice location

2975 Sycamore Dr
Simi Valley, CA 93065-1201

Mailing address

1534 N Moorpark Rd
Unit 290
Thousand Oaks, CA 91360-5129
Phone (805) 905-1188

Other names 1

  • UNITED INPATIENT CONSULTANTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130306000489 CA Part B Supplier - Clinic/Group Practice 8921253469 Receives reassigned benefits from 19 practitioners
Practice locations: Simi Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1194063529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 N MOORPARK RD",
            "address_2": "UNIT 290",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605129",
            "telephone_number": "805-905-1188",
            "fax_number": "805-367-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 SYCAMORE DR",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651201",
            "telephone_number": "805-367-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NASSERI MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "NASSERI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-905-1188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED INPATIENT CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.