J O Medical Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79854 Issued in CA

Legal business name

J O MEDICAL PROFESSIONAL CORPORATION

Practice address

13739 Riveside Drive
Unit B
Sherman Oaks, CA 91423-2417

Phone

(818) 292-8000

Fax

(818) 507-6414

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Janna Oganessian, MDNPI 1801820832

Title

Ceo

Phone

(818) 292-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janna Oganessian, M.D.

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1801820832
  Medicare reassignment NPD Authorized official
• Alexander I Niss, M.D., PH.D.

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1740296136
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1568636009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 EAST WINDSOR RD",
            "address_2": "4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912056277",
            "telephone_number": "818-292-8000",
            "fax_number": "818-507-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13739 RIVESIDE DRIVE",
            "address_2": "UNIT B",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232417",
            "telephone_number": "818-292-8000",
            "fax_number": "818-507-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J O MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "OGANESSIAN",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-292-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liza Iskenderian, RPH
• Jan Isselmann, D.C.
• Miro Itskovich, D.D.S.
• Viktoria Ivanov, PTA
• Iw Care Connection, Inc.
• J. Nathan Rubin, M.D., F.a.C.C., Inc.
• J. Walton Psychology
• J&N Home Care Inc
• Jimmy Jacinto
• Charence Jackson

• Internal Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.