Jay C. Mortimer, MD, a Medical Corp.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JAY C. MORTIMER, MD, A MEDICAL CORP.

Practice address

4419 Van Nuys Blvd
Suite 405
Sherman Oaks, CA 91403-2910

Phone

(818) 995-8766

NPI assigned

Jun 17, 2010

Last updated

Jun 17, 2010By 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. Jay C. Mortimer, MD

Title

Owner

Phone

(818) 995-8766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1922329606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD",
            "address_2": "SUITE 405",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032910",
            "telephone_number": "818-995-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 VAN NUYS BLVD",
            "address_2": "SUITE 405",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032910",
            "telephone_number": "818-995-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY C. MORTIMER, MD, A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MORTIMER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-995-8766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.