Organization Active NPI

A K Jaffer MD Inc.

  • Psychiatry Physician
  • Hemet, CA
National Provider Identifier
1295996064
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00A336260 Issued in CA
Legal business name
A K JAFFER MD INC.
Practice address
1011 E Devonshire Ave
Suite 102
Hemet, CA 92543-3033
Phone
(951) 658-2218
Fax
(951) 765-9126
NPI assigned
Jun 24, 2008
Last updated
Apr 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Authorized official

Name
Dr. A. Kareem Jaffer, M.D.
Title
Owner
Phone
(951) 658-2218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 00A336260 CA Primary

Addresses

Primary practice location

1011 E Devonshire Ave
Suite 102
Hemet, CA 92543-3033

Mailing address

1011 E Devonshire Ave
Suite # 102
Hemet, CA 92543-3033
Phone (951) 658-2218

Other identifiers 1

IdentifierTypeStateIssuer
00A336260MedicaidCA

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1295996064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E DEVONSHIRE AVE",
            "address_2": "SUITE # 102",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433033",
            "telephone_number": "951-658-2218",
            "fax_number": "951-765-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E DEVONSHIRE AVE",
            "address_2": "SUITE 102",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433033",
            "telephone_number": "951-658-2218",
            "fax_number": "951-765-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A K JAFFER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "JAFFER",
        "authorized_official_first_name": "A. KAREEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-658-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "00A336260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.