JAM MEDICAL GROUP INC (NPI# 1437490166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437490166 |
| Entity Type | Organization |
| Organization Name | JAM MEDICAL GROUP INC |
| Practice Address |
12826 Victory Blvd Suite D North Hollywood CA 91606-3013 |
| Practice Telephone | 8186708990 |
| Practice Fax Number | 8186708991 |
| Mailing Telephone | 8186708990 |
| Mailing Fax Number | 8186708991 |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | DR. KRIKOR BAGHDASSAR TATOYAN (CEO) |
| Authorized Official Telephone | 8186708990 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C43149 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12826 VICTORY BLVD SUITE D |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91606-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536505 | Kas Medical Group Inc | General Practice | 12826 Victory Blvd, Suite D, North Hollywood, CA 91606-3013 | 2015-04-28 |
| 1184034464 | Vmt Group Inc | General Practice | 12826 Victory Blvd, Suite 5, North Hollywood, CA 91606-3013 | 2014-05-07 |
| 1437571577 | Rad Universal Inc | Clinical Medical Laboratory | 12826 Victory Blvd, Ste D, North Hollywood, CA 91606-3013 | 2014-01-08 |
| 1801226022 | Nnmd Group Inc | General Practice | 12826 Victory Blvd, Suite 5, North Hollywood, CA 91606-3013 | 2013-11-25 |
| 1194150656 | Minasvand Optometry Group Inc | Optometrist | 12826 Victory Blvd, Suite D, North Hollywood, CA 91606-3013 | 2013-09-03 |
| 1114365012 | Nhvc Group Inc | General Practice | 12826 Victory Blvd, Suite D, North Hollywood, CA 91606-3013 | 2013-06-13 |
| 1518304161 | Hts Group Inc | Podiatrist | 12826 Victory Blvd, Ste E, North Hollywood, CA 91606-3013 | 2013-05-22 |
| 1851317812 | Levon Virabov | Physical Medicine & Rehabilitation | 12826 Victory Blvd, North Hollywood, CA 91606-3013 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113355 | Marine Mary Kademyan | Nurse Practitioner | 6528 Babcock Ave, North Hollywood, CA 91606 | 2020-07-31 |
| 1306322409 | Ally Home Health, Inc. | Home Health | 12801 Victory Blvd, N Hollywood, CA 91606 | 2018-07-12 |
| 1083133730 | Amanda Kardonskiy | Counselor | 12821 Victory Blvd., North Hollywood, CA 91606 | 2017-09-13 |
| 1740719020 | Christian Quijano | Case Manager/Care Coordinator | 6736 Laurel Cyn. Blvd., Suite 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1972032308 | Luis Angel Estrada | Rehabilitation Practitioner | 6736 Laurel Canyon Blvd. Unit 200, North Hollywood, CA 91606 | 2017-06-08 |
| 1003342262 | Mint Services | Medical Genetics | 12183 Victory Blvd, North Hollywood, CA 91606 | 2017-05-10 |
| 1912362443 | Paronian Medical Group, Inc. | Legal Medicine | 11631 Victory Blvd., Suite 105, North Hollywood, CA 91606 | 2015-12-29 |
| 1811364755 | Haig Mastikian | Dentist | 10835 Oxnard St, North Hollywood, CA 91606 | 2015-08-26 |
| 1962895805 | Jam Sports Inc | Clinic/Center | 12813 Victory Blvd, North Hollywood, CA 91606 | 2015-03-17 |
| 1750642880 | Heidi Raquel Donaire | Marriage & Family Therapist | 6736 Laurel Canyon Blvd., Ste. 200, North Hollywood, CA 91606 | 2012-06-05 |
| Find all providers in zip 91606 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679903207 | Damg Group Inc | General Practice | 12826 Victory Blvd Ste 4, North Hollywood, CA 91606-3013 | 2013-11-18 |
| 1619226347 | Noalab Medical Clinic Inc | General Practice | 6428 Coldwater Canyon Ave, North Hollywood, CA 91606-1113 | 2012-09-10 |
| 1245598887 | Bernard M Cooke Jr Md Inc | General Practice | 12626 Riverside Dr Ste 503, North Hollywood, CA 91607-3462 | 2012-05-02 |
| 1477855724 | Mikael Langner | General Practice | 12826 Victory Blvd., Suite D, North Hollywood, CA 91606-3013 | 2010-11-18 |
| 1669705919 | Sherman Bell Medical Group Inc | General Practice | 12720 Sherman Way, North Hollywood, CA 91605-5031 | 2009-09-17 |
| 1891957460 | Zakaria Boshra, Md Inc. | General Practice | 11755 Victory Blvd Ste 202, North Hollywood, CA 91606-3423 | 2008-06-25 |
| 1033270293 | Azniv A Abrahamian | General Practice | 12507 Victory Blvd, North Hollywood, CA 91606-3135 | 2006-12-12 |
| 1366472045 | Hakop Oganyan | General Practice | 6330 Laurel Canyon Blvd, Unit A-c, North Hollywood, CA 91606-3213 | 2006-07-05 |
| 1184652760 | Alexander Popov | General Practice | 12512 Victory Blvd, #d, North Hollywood, CA 91606-3180 | 2006-06-30 |
| 1386241040 | Richard Park Medical Group Apc | General Practice | 7535 Laurel Canyon Blvd, North Hollywood, CA 91605-3149 | 2020-10-06 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91606 |
Please comment or provide details below to improve the information on JAM MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.