Active NPI
Downtown Physicians Medical GRP Inc
- Rehabilitation Chiropractor
- Los Angeles, CA
National Provider Identifier
1386846491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- Legal business name
- DOWNTOWN PHYSICIANS MEDICAL GRP INC
- Practice address
- 801 S Flower Street
Suite 204
Los Angeles, CA 90017 - Phone
- (213) 481-7026
- Fax
- (214) 623-9985
- NPI assigned
- Jun 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Howard Raymond Jackson, MD
- Title
- Physician Owner
- Phone
- (213) 481-7026
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | Primary | ||
| Sports Physician Chiropractor | 111NS0005X | |||
| Acupuncturist | 171100000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| General Practice Physician | 208D00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
801 S Flower Street
Suite 204
Los Angeles, CA 90017
Mailing address
801 S Flower Street
Suite 204
Los Angeles, CA 90017
Phone (213) 481-7026
National Provider Directory
National Provider DirectoryLocations
801 S Flower St
Ste 204
Los Angeles, CA 90017
Phone (213) 481-7026
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Chiropractor
- Los Angeles, CA
- NPI 1811148943
Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1699788240
-
- Sports Physician Chiropractor
- Los Angeles, CA
- NPI 1366651986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1386846491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S FLOWER STREET",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90017",
"telephone_number": "213-481-7026",
"fax_number": "214-623-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S FLOWER STREET",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90017",
"telephone_number": "213-481-7026",
"fax_number": "214-623-9985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN PHYSICIANS MEDICAL GRP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "213-481-7026",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.