Active NPI
None
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1942751706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A127002
- Legal business name
- NONE
- Practice address
- 1225 Wilshire Blvd
Los Angeles, CA 90017-1901 - Phone
- (213) 977-2121
- NPI assigned
- Oct 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrew Jones, MD
- Title
- Ceo
- Phone
- (323) 867-7907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A127002 | CA | Primary |
Addresses
Primary practice location
1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Mailing address
PO Box 86852
Los Angeles, CA 90086-0852
Phone (323) 867-7907
National Provider Directory
National Provider DirectoryLocations
4201 Long Beach Blvd
Ste 410
Long Beach, CA 90807
Phone (818) 900-6665
3580 Wilshire Blvd
Ste 100
Los Angeles, CA 90010
Phone (213) 389-2526
7012 Reseda Blvd
Ste A
Reseda, CA 91335
Phone (818) 776-1171
Ownership & related parties
Subparts reporting this organization as parent 3
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- School Counselor
- Los Angeles, CA
- NPI 1669616827
-
- Adult Day Care Clinic/Center
- Corona, CA
- NPI 1790193472
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Exeter, CA
- NPI 1841328259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1942751706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 86852",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900860852",
"telephone_number": "323-867-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900171901",
"telephone_number": "213-977-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NONE",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-17",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-867-7907",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A127002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.