Medical Group Associates Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C27493 Issued in CA

Legal business name

MEDICAL GROUP ASSOCIATES INC

Practice address

8501 Wilshire Blvd
316
Beverly Hills, CA 90211-3101

Phone

(310) 652-2255

Fax

(310) 652-3580

NPI assigned

Nov 1, 2006

Last updated

Sep 25, 2008By 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

Dr. Ivan Richard Jacobs, M.D.NPI 1093719858

Title

Precident

Phone

(310) 652-2255

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Ivan Richard Jacobs, M.D.

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1093719858
  Authorized official Same address or phone

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1245317411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD",
            "address_2": "316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113101",
            "telephone_number": "310-652-2255",
            "fax_number": "310-652-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 WILSHIRE BLVD",
            "address_2": "316",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113101",
            "telephone_number": "310-652-2255",
            "fax_number": "310-652-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRECIDENT",
        "authorized_official_telephone_number": "310-652-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C27493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ87633Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0006640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Mead, M.A., M.F.T.
• D Louise Mebane, PHD
• Med Institute (Mobile Physician Associates)
• Trevor N.G. Medbery, D.D.S.
• Medical Anesthesia Associates of Southern California Inc
• Medical Group of Beverly Hills (Cedars Sinai Medical Group)
• Medical Imaging Associates (Beverly Hills Diagnostic Breast Center Medical Group)
• Medical Imaging Partners, Inc
• Medicus Telehealth Inc.
• Medipace Beverly Hills Professional Corporation

• Medical Specialty Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.