Active NPI
Jacob M. Tsadok M.D. Inc
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1629258520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A61419
- Legal business name
- JACOB M. TSADOK M.D. INC
- Practice address
- 2080 Century Park E
Suite 1511
Los Angeles, CA 90067-2001 - Phone
- (310) 277-9010
- Fax
- (310) 277-3659
- NPI assigned
- Nov 7, 2007
- 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
- Jacob M Tsadok, M.D.
- Title
- Owner
- Phone
- (310) 277-9010
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A61419 | CA | Primary |
Addresses
Primary practice location
2080 Century Park E
Suite 1511
Los Angeles, CA 90067-2001
Mailing address
PO Box 24971
Los Angeles, CA 90024-0971
Phone (310) 277-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A614190 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Jacob M Tsadok MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Culver City, CA
- NPI 1861805335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1881756096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194393600000",
"number": "1629258520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24971",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900240971",
"telephone_number": "310-277-9010",
"fax_number": "310-277-3659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK E",
"address_2": "SUITE 1511",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672001",
"telephone_number": "310-277-9010",
"fax_number": "310-277-3659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB M. TSADOK M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A",
"authorized_official_last_name": "TSADOK",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-277-9010",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A61419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A614190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.