Evelyn Jankowski MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G032630 Issued in CA

Legal business name

EVELYN JANKOWSKI MD INC

Practice address

10316 Woodley Ave
Granada Hills, CA 91344

Phone

(813) 368-5651

Fax

(818) 363-4770

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Lee, NPC

Title

NPC

Phone

(818) 368-5651

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

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

• Evelyn Dianna Jankowski, MD

  • Dermatology Physician
  • Granada Hills, CA
  • NPI 1083604755
  Medicare reassignment
• Jamie Kim

  • Physician Assistant
  • Granada Hills, CA
  • NPI 1053658005
  Medicare reassignment
• Jheralyn G Martin, MSPA-C

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1760814172
  Medicare reassignment
• Chutima Ningsomboon, PAC

  • Physician Assistant
  • Granada Hills, CA
  • NPI 1124057831
  Medicare reassignment
• Jennifer Trubschenck, PA-C

  • Physician Assistant
  • Thousand Oaks, CA
  • NPI 1083999254
  Medicare reassignment

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1831200633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10316 WOODLEY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "813-368-5651",
            "fax_number": "818-363-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10316 WOODLEY AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "91344",
            "telephone_number": "813-368-5651",
            "fax_number": "818-363-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN JANKOWSKI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "NPC",
        "authorized_official_telephone_number": "818-368-5651",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NPC"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G032630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.