Active NPI
Jacques Courseault, MD, PC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Beverly Hills, CA
National Provider Identifier
1740152040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- JACQUES COURSEAULT, MD, PC
- Practice address
- 415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816 - Phone
- (424) 378-3488
- Fax
- (800) 881-2038
- NPI assigned
- Sep 18, 2025
- 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
- Dr. Jacques Courseault, MD, CAQSM
- Title
- Ceo
- Phone
- (424) 378-3488
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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | Primary |
Addresses
Primary practice location
415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816
Mailing address
415 N Crescent Dr Ste 130
Beverly Hills, CA 90210-6816
Phone (424) 378-3488
Other names 1
- The Fascia Institute and Treatment Center of LA, LLC
National Provider Directory
National Provider DirectoryLocations
415 N Crescent Dr
Ste 130
Beverly Hills, CA 90210
Phone (310) 828-0101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Metairie, LA
- NPI 1205152162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1740152040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR STE 130",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106816",
"telephone_number": "424-378-3488",
"fax_number": "800-881-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N CRESCENT DR STE 130",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106816",
"telephone_number": "424-378-3488",
"fax_number": "800-881-2038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACQUES COURSEAULT, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-18",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "COURSEAULT",
"authorized_official_first_name": "JACQUES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "424-378-3488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, CAQSM"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Fascia Institute and Treatment Center of LA, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.