Organization Active NPI

Jerry Izu Medical PC

  • Obstetrics & Gynecology Physician
  • Santa Clarita, CA
National Provider Identifier
1265870380
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JERRY IZU MEDICAL PC
Practice address
23206 Lyons Ave Ste 112
Santa Clarita, CA 91321-2671
Phone
(661) 516-2955
Fax
(661) 516-2913
NPI assigned
Jun 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Jerry Kiyoshige Izu, MDNPI 1407928039
Title
Owner
Phone
(661) 516-2955

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

23206 Lyons Ave Ste 112
Santa Clarita, CA 91321-2671

Mailing address

23206 Lyons Ave Ste 112
Santa Clarita, CA 91321-2671
Phone (661) 516-2955

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130805000597 CA Part B Supplier - Clinic/Group Practice 1456593425 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

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": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1265870380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 112",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212671",
            "telephone_number": "661-516-2955",
            "fax_number": "661-516-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23206 LYONS AVE STE 112",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913212671",
            "telephone_number": "661-516-2955",
            "fax_number": "661-516-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY IZU MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "IZU",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "KIYOSHIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-516-2955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.