Individual provider Active NPI

Jonathan S Pourmorady

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1487097119
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A133753 Issued in CA
Practice address
8631 W 3Rd St Ste 1015E
Los Angeles, CA 90048-5913
Phone
(310) 933-3229
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A133753 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 1015E
Los Angeles, CA 90048-5913

Mailing address

8424 Santa Monica Blvd.
Suite a Box 164
West Hollywood, CA 90069-4267
Phone (310) 933-3229

Other practice location 1

12495 Valley View St
Garden Grove, CA 92845-2032
Phone (310) 933-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003000547 CA Practitioner - Gastroenterology 5597059220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of California, Irvine, California College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8631 W 3Rd St
Suite 1015E
Los Angeles, CA 90048-5913
Phone (310) 933-3229

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy115
Upper gastrointestinal (GI) endoscopy for acid reflux123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133753CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan S Pourmorady MD Corp Gastroenterology CurrentSince Jun 11, 2020 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

12556 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

12495 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

8631 W 3rd St
Ste 1015E
Los Angeles, CA 90048
Phone (310) 614-3897

2080 Century Park E
Ste 710
Los Angeles, CA 90067
Phone (310) 203-9818

8424 Santa Monica Blvd
Ste A
West Hollywood, CA 90069
Phone 3107309525 ext. 12250

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1487097119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 SANTA MONICA BLVD.",
            "address_2": "SUITE A BOX 164",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694267",
            "telephone_number": "310-933-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1015E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485913",
            "telephone_number": "310-933-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12495 Valley View St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928452032",
            "country_code": "US",
            "telephone_number": "310-933-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POURMORADY",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A133753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.