Jack Stuart Madowitz, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G40881 Issued in CA

Practice address

8851 Center Dr Ste 312
La Mesa, CA 91942-3050

Phone

(619) 667-0708

Fax

(619) 667-5343

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1578581971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 312",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423050",
            "telephone_number": "619-667-0708",
            "fax_number": "619-667-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 312",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423050",
            "telephone_number": "619-667-0708",
            "fax_number": "619-667-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOWITZ",
        "first_name": "JACK",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis C Maas III, MD
• Tracy Maccreadie, PSY.D.
• Dalicia Faye Mack-Nowell, LCSW
• Max Akihiro Macmillan, MD
• Peggy Macy, LCSW
• Cathy Madrigal, RBT
• Muchaneta Maduke, OTR, CHT
• Cristal Magadan Ramirez
• Jessica Cristina Magallan, SLP
• Michael F. Magpile, M.D.

• Specialist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.