James Jens Black, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G67618 Issued in CA

Legal business name

JAMES JENS BLACK, M.D., INC.

Practice address

22930 Crenshaw Blvd Ste D
Torrance, CA 90505-3048

Phone

(310) 530-4200

Fax

(310) 530-1562

NPI assigned

Dec 10, 2008

Last updated

Dec 10, 2008By 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

Mrs. Valerie G. Diaz

Title

Office Manager

Phone

(310) 530-4200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Black, M.D.

  • Specialist
  • Torrance, CA
  • NPI 1821000191
  Medicare reassignment NPD

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1801031489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CRENSHAW BLVD STE D",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053048",
            "telephone_number": "310-530-4200",
            "fax_number": "310-530-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES JENS BLACK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-530-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G67618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G676181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• James K. Ingram Inc
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• James M. Loddengaard, M.D., Inc.
• James N Scharffenberger MD Inc
• James O'Connell MD, Inc.

• Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.