Jerry Judd Pryde Jr MD PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

JERRY JUDD PRYDE JR MD PC

Practice address

8631 West 3Rd Street
915E
Los Angeles, CA 90048-6101

Phone

(310) 423-2182

Fax

(310) 423-0154

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Judd Pryde Jr., M.D.

Title

Owner

Phone

(310) 423-2182

Specialties & licenses 1

Addresses

Tax ID family

Jerry Judd Pryde Jr MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerry Judd Pryde Jr., M.D., P.C.

  • Specialist
  • Los Angeles, CA
  • NPI 1891908018
  NPD tax ID

Locations

Practitioners 1

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

• Jerry Judd Pryde Jr., MD, MPH

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1558479147
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1861766982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 WEST 3RD STREET",
            "address_2": "SUITE 915E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-423-2182",
            "fax_number": "310-423-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 WEST 3RD STREET",
            "address_2": "915E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-423-2182",
            "fax_number": "310-423-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY JUDD PRYDE JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "PRYDE",
        "authorized_official_first_name": "JERRY JUDD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-423-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessi Jeronimo
• Ritchie Jeronimo
• Jerrica Kirkley M.D., P.C.
• Jerrold H Steiner MD a Medical Corp
• Jerry Judd Pryde Jr MD PC
• Jerry Judd Pryde Jr., M.D., P.C.
• Jerry L Lanier DDS Inc
• Jerry L Lanier DDS Inc.
• Jerry L Lanier DDS Inc.
• Jerry L Lanier DDS, Inc

• Physical Medicine & Rehabilitation Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.