Active NPI
Jay Jurkowitz, M.D.
- Neurology Physician
- Encino, CA
National Provider Identifier
1780701201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G21741
- Practice address
- 16311 Ventura Blvd
#1000
Encino, CA 91436 - Phone
- (818) 461-8150
- Fax
- (818) 461-8157
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G21741 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
#1000
Encino, CA 91436
Mailing address
16311 Ventura Blvd
#1000
Encino, CA 91436
Phone (818) 461-8150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G21741 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21741 | CA | MD | Pharmacist |
| G21741 | CA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289433600000",
"number": "1780701201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "#1000",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "818-461-8150",
"fax_number": "818-461-8157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "#1000",
"city": "ENCINO",
"state": "CA",
"postal_code": "91436",
"telephone_number": "818-461-8150",
"fax_number": "818-461-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURKOWITZ",
"first_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2010-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G21741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G21741",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.