NPIMap

Organization Active NPI

Med-Legal LLC

  • Contractor
  • San Dimas, CA
National Provider Identifier
1457725715
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
MED-LEGAL LLC
Practice address
955 Overland CT
San Dimas, CA 91773-1746
Phone
(800) 244-3495
NPI assigned
Nov 23, 2015
Organization subpart
Yes
Parent organization
LEGAL SOLUTIONS HOLDING INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dan R Jakle
Title
Compliance and Operations Architect
Phone
(800) 244-3495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X CA Primary

Addresses

Primary practice location

955 Overland CT
San Dimas, CA 91773-1746

Mailing address

955 Overland CT
San Dimas, CA 91773-1746
Phone (800) 244-3495

National Provider Directory

National Provider Directory
Tax ID family
Med-Legal LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1457725715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 OVERLAND CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731746",
            "telephone_number": "800-244-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 OVERLAND CT",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731746",
            "telephone_number": "800-244-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-LEGAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGAL SOLUTIONS HOLDING INC.",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "JAKLE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMPLIANCE AND OPERATIONS ARCHITECT",
        "authorized_official_telephone_number": "800-244-3495"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.