Jose M Medrano MD PC

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X

License

207551 Issued in NY

Legal business name

JOSE M MEDRANO MD PC

Practice address

2211 W. Magnolia Blvd.
Suite 250
Burbank, CA 91506

Phone

(818) 566-1490

Fax

(818) 566-1495

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Jose M Medrano, MDNPI 1801880786

Title

President

Phone

(718) 442-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jose Meliton Medrano, MD

  • Obstetrics & Gynecology Physician
  • Burbank, CA
  • NPI 1801880786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1710199526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 W. MAGNOLIA BLVD.",
            "address_2": "SUITE 250",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-566-1490",
            "fax_number": "818-566-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 W. MAGNOLIA BLVD.",
            "address_2": "SUITE 250",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-566-1490",
            "fax_number": "818-566-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M MEDRANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-442-4300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "207551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamon Le'Chae Jones
• Mya Jones
• Nadia Rojas Jones, LMFT 52108
• Yasmine Jones
• Joon Hwan Oh DDS,Inc
• Edward Charles Joseph, D.D.S.
• Patricia Joseph, AGACNP-BC
• Journey Hospice Services, Inc
• Journey Palliative and Hospice Inc.
• Journey Therapy Group

• Obstetrics & Gynecology Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Obstetrics & Gynecology Physician in California

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

Verify at the official NPI Registry.