Organization Active NPI

Jacob E. Tauber, MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Glendale, CA
National Provider Identifier
1336440940
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
JACOB E. TAUBER, MD, A PROFESSIONAL CORPORATION
Practice address
1505 Wilson Ter
Suite 310
Glendale, CA 91206-4071
Phone
(818) 502-1130
NPI assigned
Nov 12, 2010
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
JACOB E. TAUBER, MD, A PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Jacob Tauber, M.D.
Title
Owner
Phone
(818) 502-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

1505 Wilson Ter
Suite 310
Glendale, CA 91206-4071

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Jacob Tauber MD Corp2 organizations share this tax ID, including this one
Part of
Jacob Tauber MD Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1505 Wilson Ter
Ste 310
Glendale, CA 91206
Phone (818) 419-2597

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1336440940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER",
            "address_2": "SUITE 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064071",
            "telephone_number": "818-502-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB E. TAUBER, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACOB E. TAUBER, MD, A PROFESSIONAL CORPORATION",
        "enumeration_date": "2010-11-12",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "TAUBER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-502-1130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.