Job Daniel Augustine, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

A107596 Issued in CA

Practice address

1104 N Mission Rd
Los Angeles, CA 90033-1017

Phone

(323) 343-0569

NPI assigned

Jul 30, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. J. Daniel Augustine Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Angeles Department of Medical Examiner-Coroner

  • Forensic Pathology Physician
  • Los Angeles, CA
  • NPI 1659740264

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1720632482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331017",
            "telephone_number": "323-343-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N MISSION RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331017",
            "telephone_number": "323-343-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "JOB",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A107596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "AUGUSTINE",
            "middle_name": "DANIEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Danielle C Aufiero, M.D.
• Kurt Maurice August, RAD-T (R1353980719)
• Michelle August
• Rose Carline Auguste
• Alexis Nicole Augustine
• Kakeneisha Augustine
• Kutu Augustine
• Simone Pilar Augustine
• Augusto a .Zablan,M.D.,Inc.
• Augusto Rojas M.D, Inc

• Forensic Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Forensic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.