Jerry J Pryde Jr. (NPI# 1558479147, PAC ID# 9335327022) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
Nation Provider ID (NPI) | 1558479147 |
PAC ID by PECOS | 9335327022 |
Professional Enrollment ID | I20110628000734 |
Full Name | Jerry J Pryde Jr. |
Organization Legal Name | JERRY JUDD PRYDE JR MD PC |
Address |
1130 S Flower St Apt 412 Los Angeles CA 90015-2144 |
Phone Number | 3104232182 |
Gender | M |
Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 1995 |
Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
Group Practice PAC ID | 0446534564 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050625 | CEDARS-SINAI MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1130 S Flower St, Apt 412, Los Angeles, CA 90015-2144 | 3104232182 | JERRY JUDD PRYDE JR MD PC |
1130 S Flower St, Los Angeles, CA 90015-2144 | 3104232182 | JERRY JUDD PRYDE JR MD PC |
Organization Legal Name | JERRY JUDD PRYDE JR MD PC |
Physicians | 1 |
Street Address |
1130 S FLOWER ST APT 412 |
City | LOS ANGELES |
State | CA |
Zip | 90015-2144 |
Name | Specialty | Organization | Address |
---|---|---|---|
Hala K Masri | Clinical Social Worker | Special Service for Groups | 1730 W Olympic Blvd, Los Angeles, CA 90015-1019 |
Thomas P Walker | Nurse Practitioner | Healthcare Partners Affiliates Medical Group | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 |
Carolyn R Towler | Diagnostic Radiology | Healthcare Partners Affiliates Medical Group | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 |
Chyrle C Whalen | Nurse Practitioner | Healthcare Partners Affiliates Medical Group | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 |
Vinh Q Nguyen | Family Practice | Healthcare Partners Affiliates Medical Group | 1025 W Olympic Blvd, Los Angeles, CA 90015-1329 |
Michael D Zeger | Chiropractic | 714 W Olympic Blvd, Suite 1001, Los Angeles, CA 90015-1695 | |
Thang Phuoc Nguyen | General Practice | 1271 S Union Ave, Pico Union Medical, Los Angeles, CA 90015-2043 | |
Cecilia Y Perez | Optometry | 1149 S Hill St, Suite 365, Los Angeles, CA 90015-2290 | |
June M Chiang | Optometry | 1149 S Hill St, Suite 365, Los Angeles, CA 90015-2290 | |
Raul Joaquin Bendana | General Practice | 1619 /2 W Pico Blvd, Los Angeles, CA 90015-2409 | |
Find all physicians in zip 90015 |
City | LOS ANGELES |
Zip Code | 90015 |
Specialty | PHYSICAL MEDICINE AND REHABILITATION |
City + Specialty | LOS ANGELES + PHYSICAL MEDICINE AND REHABILITATION |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.