Jonathan S Pourmorady MD Corp

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

JONATHAN S POURMORADY MD CORP

Practice address

8631 W 3Rd St Ste 1015E
Los Angeles, CA 90048-5913

Phone

(310) 933-3229

NPI assigned

Oct 7, 2020

Last updated

Jan 28, 2025By 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

Jonathan PourmoradyNPI 1487097119

Title

MD

Phone

(310) 933-3229

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

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan S Pourmorady

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1487097119
  Medicare reassignment NPD Authorized official
• Ted Farzaneh, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Aliso Viejo, CA
  • NPI 1225588510
  Medicare reassignment NPD

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1942807300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 A SANTA MONICA BLVD",
            "address_2": "BOX #164",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 1015E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485913",
            "telephone_number": "310-933-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12495 Valley View St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928452032",
            "country_code": "US",
            "telephone_number": "310-933-3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN S POURMORADY MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "POURMORADY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-933-3229"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.