Active NPI
Isaac Daniel Jenabi, MD
- Interventional Pain Medicine Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A140692
- Practice address
- 23560 Crenshaw Blvd Ste 102
Torrance, CA 90505-5233 - Phone
- (310) 891-6795
- Fax
- (323) 300-5505
- NPI assigned
- Apr 1, 2014
- Last updated
- Nov 15, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 18888 | NV | |
| Interventional Pain Medicine Physician | 208VP0014X | A140692 | CA | Primary |
Addresses
Primary practice location
23560 Crenshaw Blvd Ste 102
Torrance, CA 90505-5233
Mailing address
23560 Crenshaw Blvd Ste 102
Torrance, CA 90505-5233
Phone (310) 891-6795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Pittsburgh School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
23550 Hawthorne Blvd
Suite 120
Torrance, CA 90505-4767
Phone (310) 517-1216
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A140692 | CA | MD | Interventional Pain Medicine Physician |
| 18888 | NV | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Health Association Inc | Current | Accepting new patients | |
| Coppel Surgical Solutions | Past | Accepting new patients | |
| North Vista Hospital LLC | Interventional Pain Medicine | Past | Accepting new patients |
Locations
514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300
23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205
23550 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (310) 517-1216
23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- isaac.jenabi@5193.chartlogic.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Torrance Memorial Physician Network
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
-
dba Nevada Surgical Suites
- Ambulatory Surgical Clinic/Center
- Las Vegas, NV
- NPI 1225440969
-
- Psychiatric Hospital Unit
- North Las Vegas, NV
- NPI 1619050549
Interventional Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1649698218",
"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": "310-891-6795",
"fax_number": "323-300-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23560 CRENSHAW BLVD STE 102",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055233",
"telephone_number": "310-891-6795",
"fax_number": "323-300-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENABI",
"first_name": "ISAAC",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-01",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NV",
"license": "18888",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A140692",
"primary": true
}
],
"identifiers": [],
"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 Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.