Alfred Darryl Jumper M.D. a Professional Corporation

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

Legal business name

ALFRED DARRYL JUMPER M.D. A PROFESSIONAL CORPORATION

Practice address

9675 Brighton Way
100
Beverly Hills, CA 90210-5100

Phone

(310) 275-1646

NPI assigned

Aug 5, 2006

Last updated

Jan 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alfred Darryl Jumper, M.D.

Title

President

Phone

(310) 845-0208

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1740299114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY",
            "address_2": "100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105100",
            "telephone_number": "310-275-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED DARRYL JUMPER M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "JUMPER",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "DARRYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-845-0208",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C409610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C409610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.