Jonathan Nassos PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

JONATHAN NASSOS PC

Practice address

5651 Sepulveda Blvd
Suite 201
Sherman Oaks, CA 91411-2916

Phone

(818) 788-2400

Fax

(818) 788-2400

NPI assigned

Aug 12, 2012

Organization subpart

No

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

Authorized official

Name

Jonathan T Nassos, MDNPI 1770761934

Title

Owner/President

Phone

(310) 273-2731

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan T Nassos, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
  • NPI 1770761934

  CA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1578810339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400",
            "fax_number": "818-788-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 SEPULVEDA BLVD",
            "address_2": "SUITE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914112916",
            "telephone_number": "818-788-2400",
            "fax_number": "818-788-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN NASSOS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-12",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "NASSOS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-273-2731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Diane Johnson, PSY.D., MFT
• Patti Lee Johnson, LICENSED CLINICAL PS
• Sabree Krista Yvonne Johnson
• Xavier Ariel Johnson
• Jonathan F. Kohan, MD, Inc
• Adriana Jones
• Britney Jones
• Corina S Jones
• Gary Stephen Jones
• Teyawna Marie Jones

• Sports Medicine (Orthopaedic Surgery) Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.