Mahnoush Monica Jazzabi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A061889 Issued in CA

Practice address

5151 State University Dr
California State University, Los Angeles
Los Angeles, CA 90032-4226

Phone

(323) 343-3301

Fax

(323) 343-3304

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1376781401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 STATE UNIVERSITY DR",
            "address_2": "CALIFORNIA STATE UNIVERSITY, LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324226",
            "telephone_number": "323-343-3301",
            "fax_number": "323-343-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 STATE UNIVERSITY DR",
            "address_2": "CALIFORNIA STATE UNIVERSITY, LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324226",
            "telephone_number": "323-343-3301",
            "fax_number": "323-343-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZZABI",
        "first_name": "MAHNOUSH",
        "middle_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A061889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.