Individual provider Active NPI

Jerome Harold Unatin I, M.D.

  • Orthopaedic Hand Surgery Physician
  • Torrance, CA
National Provider Identifier
1619084969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G13334 Issued in CA
Practice address
23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233
Phone
(310) 784-2355
Fax
(310) 517-1817
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X G13334 CA Primary

Addresses

Primary practice location

23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233

Mailing address

23560 Crenshaw Blvd Ste 102
Torrance, CA 90505-5233
Phone (310) 200-8036

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ02606ZOtherCABLUE SHIELD ZZ NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G13334CAMDOrthopaedic Hand Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619084969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-200-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-784-2355",
            "fax_number": "310-517-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNATIN",
        "first_name": "JEROME",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G13334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ZZ NUMBER",
            "identifier": "ZZZ02606Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.