Jared B Morris MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A20821 Issued in CA

Legal business name

JARED B MORRIS MD INC

Practice address

6200 Wilshire Blvd
Suite 1210
Los Angeles, CA 90048

Phone

(323) 933-5797

Fax

(323) 933-8168

NPI assigned

Nov 27, 2006

Organization subpart

No

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

Authorized official

Name

Jared B Morris, MD

Title

President

Phone

(323) 933-5797

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1528134251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-933-5797",
            "fax_number": "323-933-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 WILSHIRE BLVD",
            "address_2": "SUITE 1210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90048",
            "telephone_number": "323-933-5797",
            "fax_number": "323-933-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED B MORRIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-933-5797",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A20821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ22389Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WA20821A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A208210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Jaranilla
• Kenneth Jarantilla, PA-C
• Shahriar Jarchi, M.D.
• Patricia Miranda Jardack, RDN
• Riviane A Jardim, NP
• Devon Jareo
• Jay Mouazza Jarmakani, M.D.
• Leila K Jarman
• Monica E Jarman
• Demetria Jarmon

• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.