Active NPI
Dr. Jay
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1548624364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DR. JAY
- Practice address
- 2121 S San Pedro St
Suite #C
Los Angeles, CA 90011-1160 - Phone
- (310) 908-4669
- NPI assigned
- Apr 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jkob Younai
- Title
- Owner
- Phone
- (310) 210-6606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2121 S San Pedro St
Suite #C
Los Angeles, CA 90011-1160
Mailing address
2121 S San Pedro St
Suite #C
Los Angeles, CA 90011-1160
Phone (310) 908-4669
National Provider Directory
National Provider DirectoryLocations
2121 S San Pedro St
Ste C
Los Angeles, CA 90011
Phone (310) 908-4669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1548624364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 S SAN PEDRO ST",
"address_2": "SUITE #C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111160",
"telephone_number": "310-908-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S SAN PEDRO ST",
"address_2": "SUITE #C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900111160",
"telephone_number": "310-908-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JAY",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-07",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "YOUNAI",
"authorized_official_first_name": "JKOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-210-6606",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.