Organization Active NPI

Jay Jurkowitz, M.D. Inc.

  • Specialist
  • Encino, CA
National Provider Identifier
1447537709
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21741 Issued in CA
Legal business name
JAY JURKOWITZ, M.D. INC.
Practice address
16311 Ventura Blvd
#1000
Encino, CA 91436
Phone
(818) 461-8150
Fax
(818) 461-8157
NPI assigned
Nov 14, 2011
Last updated
Nov 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Authorized official

Name
Jay Jurkowitz, MDNPI 1780701201
Title
Business Owner
Phone
(310) 710-4687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G21741 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd
#1000
Encino, CA 91436

Mailing address

16311 Ventura Blvd
#1000
Encino, CA 91436
Phone (818) 461-8150

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 1000
Encino, CA 91436
Phone (818) 461-8150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542585600000",
    "number": "1447537709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "#1000",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-461-8150",
            "fax_number": "818-461-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "#1000",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-461-8150",
            "fax_number": "818-461-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY JURKOWITZ, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2018-11-19",
        "status": "A",
        "authorized_official_last_name": "JURKOWITZ",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "310-710-4687",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.