Active NPI
Mario Jaramillo, MD
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1427679406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A195210
- Practice address
- 911 Broxton Ave Ste 301
Los Angeles, CA 90024-2801 - Phone
- (760) 567-7577
- Fax
- (310) 825-3632
- NPI assigned
- May 1, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A195210 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 69411 | AZ |
Addresses
Primary practice location
911 Broxton Ave Ste 301
Los Angeles, CA 90024-2801
Mailing address
911 Broxton Ave Ste 301
Los Angeles, CA 90024-2801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.34 of 100
- Quality
- 74.56
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69411 | AZ | MD | Internal Medicine Physician |
| A195210 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1427679406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 BROXTON AVE STE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242801",
"fax_number": "310-825-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BROXTON AVE STE 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900242801",
"telephone_number": "760-567-7577",
"fax_number": "310-825-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "MARIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-01",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A195210",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "69411",
"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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.