NPIMap

Individual provider Active NPI

John Paul McKenzie III, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, CA
National Provider Identifier
1366422685
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G71752 Issued in CA
Practice address
660 W Broadway
Glendale, CA 91204-1008
Phone
(818) 542-9420
Fax
(818) 243-9605
NPI assigned
Jan 20, 2006
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G71752 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X G71752 CA Primary

Addresses

Primary practice location

660 W Broadway
Glendale, CA 91204-1008

Mailing address

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 542-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000490 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4486677242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Missouri, Columbia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Rock Medlink Group IncGroup PAC ID 3173050689, 3 clinicians
Heartbeat Cardiovascular Medical GroupGroup PAC ID 0840258778, 9 clinicians

Practice addresses (Care Compare)

4157 Eagle Rock Blvd
Suite 4
Los Angeles, CA 90065-4492
Phone (818) 439-2021

660 W Broadway
Glendale, CA 91204-1008
Phone (818) 243-9600

701 N Alvarado St
FL 1
Los Angeles, CA 90026-4073
Phone (213) 277-1451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G71752CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alvarado Healthcare Inc CurrentSince Sep 3, 2024 Accepting new patients
JPM Elite Medical Clinic Inc Current Accepting new patients
Heartbeat Cardiovascular Medical Group Cardiovascular Disease CurrentSince May 1, 2009 Accepting new patients
Glendale Adventist Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Frizzy Oaks Medical Group Inc CurrentSince Apr 4, 2024 Accepting new patients
Eagle Rock Medlink Group Inc CurrentSince Jan 30, 2025 Accepting new patients
Glendale Adventist Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
John P McKenzie III M D Inc Cardiovascular Disease PastSince Sep 1, 2006 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
St. Mary's Hospice and Palliative Care, Inc. Past Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1809 Verdugo Blvd
Glendale, CA 91208
Phone (213) 483-8810

1809 Verdugo Blvd
Ste 220
Glendale, CA 91208
Phone (818) 790-1844

660 W Broadway
Glendale, CA 91204
Phone (818) 243-9600

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1701 E Cesar E Chavez Ave
Ste 560
Los Angeles, CA 90033
Phone (323) 226-0022

4157 Eagle Rock Blvd
Ste 4
Los Angeles, CA 90065
Phone (818) 439-2021

701 N Alvarado St
Fl 1
Los Angeles, CA 90026
Phone (213) 277-1451

14545 Friar St
Ste 217
Van Nuys, CA 91411
Phone (818) 489-9602

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jpm107pcs@m580.primeclinicalsystems.direct-ci.com

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1366422685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-542-9420",
            "fax_number": "818-243-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041008",
            "telephone_number": "818-542-9420",
            "fax_number": "818-243-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G71752",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G71752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.