Jacob Korula, M.D. a Professional Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A39567 Issued in CA

Legal business name

JACOB KORULA, M.D. A PROFESSIONAL MEDICAL CORPORATION

Practice address

622 W Duarte Road
Suite 302
Arcadia, CA 91007-9278

Phone

(626) 447-5339

NPI assigned

May 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Korula, M.D.NPI 1295732568

Title

President

Phone

(626) 447-5339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Korula, M.D.

  • Gastroenterology Physician
  • Arcadia, CA
  • NPI 1295732568
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240099200000",
    "number": "1821299298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W DUARTE RD",
            "address_2": "SUITE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079278",
            "telephone_number": "626-447-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W DUARTE ROAD",
            "address_2": "SUITE 302",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079278",
            "telephone_number": "626-447-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB KORULA, M.D. A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-04-19",
        "status": "A",
        "authorized_official_last_name": "KORULA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-447-5339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A39567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maika Ishimaru
• Vianka Islas
• Kathleen Iwuoha
• J & G Medical Inc
• Deborah Jackson
• Jasmine Jacobo
• Sara Marie Jacobs, PT
• Gary Bruce Jacobsen, DDS
• Rita Celina Jacques
• Jahani Dental Corporation

• Gastroenterology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; 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.