Active NPI
Michael Jablon, RMST
- Diagnostic Ultrasound Physician
- Beverly Hills, CA
National Provider Identifier
1306683081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- ASJ418521000
- Practice address
- 8500 Wilshire Blvd Ste 1018
Beverly Hills, CA 90211-3108 - Phone
- (949) 361-3284
- Fax
- (310) 861-1334
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | ASJ418521000 | CA | Primary |
Addresses
Primary practice location
8500 Wilshire Blvd Ste 1018
Beverly Hills, CA 90211-3108
Mailing address
2945 Townsgate Rd Ste 200
Westlake Village, CA 91361-5866
Phone (714) 330-1838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASJ418521000 | CA | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1306683081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2945 TOWNSGATE RD STE 200",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913615866",
"telephone_number": "714-330-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 WILSHIRE BLVD STE 1018",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113108",
"telephone_number": "949-361-3284",
"fax_number": "310-861-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABLON",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RMST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "ASJ418521000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.