Adel F. Jabour, M.D Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A30429 Issued in CA

Legal business name

ADEL F. JABOUR, M.D INC

Practice address

18350 Roscoe Blvd Ste 200
Northridge, CA 91325-4147

Phone

(818) 885-7905

Fax

(818) 885-1631

NPI assigned

Feb 20, 2007

Last updated

Jul 29, 2011By 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

Dr. Adel Fahim Jabour, M.D.NPI 1154380301

Title

President

Phone

(818) 885-7905

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Adel F. Jabour, M.D.

  • Surgery Physician
  • Northridge, CA
  • NPI 1154380301
  Authorized official Same address or phone
• Robert Charles Cohenour, MD

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1962425587
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1811032923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254147",
            "telephone_number": "818-885-7905",
            "fax_number": "818-885-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD STE 200",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254147",
            "telephone_number": "818-885-7905",
            "fax_number": "818-885-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL F. JABOUR, M.D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "JABOUR",
        "authorized_official_first_name": "ADEL",
        "authorized_official_middle_name": "FAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-885-7905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1154380301",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A304290",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A30429",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.