Jay B Madhure, M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

A33612 Issued in CA

Practice address

16281 San Fernando Mission Blvd
Granada Hills, CA 91344-3725

Phone

(818) 838-4600

Fax

(818) 366-7479

NPI assigned

Jul 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Todos Para la SaludGroup PAC ID 1951673748, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCGBCD
• Direct secure messaging: jmadhure647671@direct.ochin.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Golden Age Home Health Inc

  dba PRN Home Health Services

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1417160045

  Contracted Managing Employee

  CMS ownership

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.

• Todos Para la Salud

  • Clinic/Center
  • Fresno, CA
  • NPI 1184164873
  Medicare reassignment Care Compare group NPD
• Todos Para la Salud

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1073321543
  NPD
• Todos Para la Salud

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1740625235
  NPD
• Deanco Healthcare LLC.

  dba Mission Community Hospital

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1770518714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16281 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443725",
            "telephone_number": "818-838-4600",
            "fax_number": "818-366-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16281 SAN FERNANDO MISSION BLVD",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443725",
            "telephone_number": "818-838-4600",
            "fax_number": "818-366-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADHURE",
        "first_name": "JAY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A33612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc (Target Optical A953)
• Glora Ly, PHARMD
• Sarah Noelle Maar
• Jessica Sarah Machuca
• Lorraine S Macnaughton, PT
• Madras K. Padmanabhan,MD, Inc.
• Vincent Merula Mae Celestino
• Magnolia Gardens Convalescent Hospital LLC (Magnolia Gardens Convalescent Hospital)
• Ben Maguerrero
• Nita C. Mahajan I, MD

• Adolescent Medicine (Family Medicine) Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Adolescent Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.