M. Jay Jazayeri M.D., Inc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A33300 Issued in CA

Legal business name

M. JAY JAZAYERI M.D., INC.

Practice address

2690 Pacific Ave
Suite 380
Long Beach, CA 90806-2657

Phone

(562) 595-6426

Fax

(562) 595-5830

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahmood Jay Jazayeri, M.D.NPI 1679512560

Title

Owner

Phone

(562) 595-6426

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahmood Jay Jazayeri, M D

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1679512560
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1447560859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE",
            "address_2": "SUITE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062657",
            "telephone_number": "562-595-6426",
            "fax_number": "562-595-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 PACIFIC AVE",
            "address_2": "SUITE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062657",
            "telephone_number": "562-595-6426",
            "fax_number": "562-595-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. JAY JAZAYERI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "JAZAYERI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-595-6426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A33300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A333002",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathanial Frederick Lynott, D.C., L.AC
• Gary C Lyon, DDS
• Lindsay Lyon, MBA, MA, AMFT, APCC
• William J Lyons, M.D.
• Susan Lytle
• Alice Ma
• Allison Janelle Ma, DPM
• Andrew Richard Ma, MD
• Arissa Katie Ma, MD
• Helen Ma, M.D.

• Orthopaedic Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.