James Edward Jefferson, M.D.

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

C34888 Issued in CA

Practice address

18360 Burbank Blvd
Tarzana, CA 91356-2805

Phone

(818) 774-9080

Fax

(818) 774-9135

NPI assigned

Nov 1, 2006

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

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.

• Socal Mr Site Management, Inc.

  • Diagnostic Radiology Physician
  • Covina, CA
  • NPI 1396774022
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760560635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 BURBANK BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562805",
            "telephone_number": "818-774-9080",
            "fax_number": "818-774-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "CA",
            "license": "C34888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Javaherifar
• Samira Javaherifar
• Jean T Miyashita MD
• Jeannette Valeriano Jeannette Valeriano
• Natalie Ruth Jebreel, IBCLC
• Jeffrey E Galpin MD Inc
• Elizabeth Jenkins, M.D.
• Jenny Oh, MD, Inc
• Jeremy Schwieger, M.D., a Medical Corporation
• Brenda Jimenez

• Radiography Radiologic Technologist in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Radiography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.