Iman Jomaa

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22702 Issued in NU

Practice address

301 S Fair Oaks Ave Ste 208
Pasadena, CA 91105-2562

Phone

(626) 440-7325

NPI assigned

Nov 15, 2012

Last updated

Jun 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Usc Care Medical Group, Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1902846306
  Medicare reassignment NPD
• Jagan N. Bansal, M.D., Inc.

  dba Complete Family Medical Clinic

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1043392962
  Medicare reassignment
• Jagan N. Bansal, M.D., Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1013099936
  NPD
• Usc Care Medical Group, Inc

  dba Fair Oaks Clinic

  • Durable Medical Equipment & Medical Supplies
  • Pasadena, CA
  • NPI 1427937390
  NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434758400000",
    "number": "1538403597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N MICHIGAN AVE APT 10",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911061858",
            "telephone_number": "818-404-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE STE 208",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052562",
            "telephone_number": "626-440-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOMAA",
        "first_name": "IMAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": "PA22702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Victoria Johnston
• Susan Lynn Johnstone, M.A.
• Gary Joint
• Cortney Jolin, MSN
• Vivian Jolon
• Jon-Patrik Pedersen, PHD, Clinical Psychology P.C.
• Jonathan Tam MD Inc
• Katrina Jones Wildey
• Traci Jones-Martinez, PT
• Aierial Naree Jones

• Physician Assistant in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.