Organization Active NPI

Marian Jalil M D Inc

  • Internal Medicine Physician
  • Whittier, CA
National Provider Identifier
1194926592
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W10442 Issued in CA
Legal business name
MARIAN JALIL M D INC
Practice address
14350 Whittier Blvd
Ste 200
Whittier, CA 90605-2148
Phone
(562) 945-7671
Fax
(562) 945-7485
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Marian Jalil, M D INCNPI 1801897103
Title
Owner
Phone
(562) 945-7671

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QG0300X W10442 CA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X W10442 CA Primary

Addresses

Primary practice location

14350 Whittier Blvd
Ste 200
Whittier, CA 90605-2148

Mailing address

14350 Whittier Blvd
Ste 200
Whittier, CA 90605-2148
Phone (562) 945-7671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050818000640 CA Part B Supplier - Clinic/Group Practice 2163452194 Receives reassigned benefits from 1 practitioner
Practice locations: Whittier, CA

National Provider Directory

National Provider Directory

Locations

14350 Whittier Blvd
Ste 200
Whittier, CA 90605
Phone (310) 945-7671

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1194926592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD",
            "address_2": "STE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052148",
            "telephone_number": "562-945-7671",
            "fax_number": "562-945-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD",
            "address_2": "STE 200",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052148",
            "telephone_number": "562-945-7671",
            "fax_number": "562-945-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN JALIL M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "JALIL",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-945-7671",
        "authorized_official_credential": "M D INC"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "W10442",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "W10442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.