Organization Active NPI

Jon I. Sattler, M.D., Inc.

  • Plastic Surgery Physician
  • Glendale, CA
National Provider Identifier
1457675324
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C51161 Issued in CA
Legal business name
JON I. SATTLER, M.D., INC.
Practice address
1500 S Central Ave
Suite 126
Glendale, CA 91204-2530
Phone
(310) 203-9000
Fax
(818) 787-9553
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Authorized official

Name
Jon I. Sattler, M.D.
Title
M.D.
Phone
(310) 203-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X C51161 CA Primary

Addresses

Primary practice location

1500 S Central Ave
Suite 126
Glendale, CA 91204-2530

Mailing address

PO Box 1046
Monrovia, CA 91017-1046
Phone (310) 203-9000

National Provider Directory

National Provider Directory

Locations

412 W Carroll Ave
Ste 103
Glendora, CA 91741
Phone (626) 335-0900

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1457675324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910171046",
            "telephone_number": "310-203-9000",
            "fax_number": "818-787-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 126",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "310-203-9000",
            "fax_number": "818-787-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON I. SATTLER, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "SATTLER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-203-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C51161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.