JASON NIKZAD (NPI# 1508121674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508121674 |
| Entity Type | Individual |
| Full Name | JASON NIKZAD |
| Credential | D.O. |
| Practice Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Mailing Address |
2634 Angelo Dr Los Angeles CA 90077-2130 |
| Practice Telephone | 3103018707 |
| Mailing Telephone | 3102749742 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A12653 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS11117 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006444400 | 05 |
| Street Address |
5767 W CENTURY BLVD STE 400 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578536462 | Michael B Gorin | Ophthalmology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2006-02-10 |
| 1114372356 | Jules Stein Institute Medical Group | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2016-04-25 |
| 1487013579 | Regents of The University of California | Durable Medical Equipment & Medical Supplies | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2016-02-17 |
| 1487062790 | Alicia Trocker | Dietitian, Registered | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2014-07-30 |
| 1215377320 | Regents of The University of California | Internal Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2013-07-03 |
| 1679808117 | Thomas Joseph Early | Family Medicine | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2009-10-15 |
| 1033360771 | Satiro Nakamura De Oliveira | Pediatrics | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-09-30 |
| 1487815882 | Sarah Nena Mourra | Psychiatry & Neurology | 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 | 2008-06-19 |
| 1811166572 | Jesse Lawton Clark | Internal Medicine | 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 | 2008-02-27 |
| 1740315324 | Luwam Gebremusie Semere | Specialist | 5767 W Century Blvd, Ste 400, Los Angeles, CA 90045-5631 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1376159939 | Margarette Morney-kuanyawo | Family Medicine | 515 S Fuller Ave, Los Angeles, CA 90036-3244 | 2020-09-18 |
| 1780207803 | Julia Solis | Family Medicine | 1414 S Grand Ave Ste 200&380, Los Angeles, CA 90015-3067 | 2020-05-22 |
| 1033739578 | Now Medical | Family Medicine | 1333 S Hill St, Los Angeles, CA 90015-3012 | 2020-04-24 |
| 1710514930 | Los Angeles Medical Center Foundation | Family Medicine | 2010 Wilshire Blvd Fl 2, Los Angeles, CA 90057-3507 | 2020-03-26 |
| 1740817212 | Quality Medical Group Inc | Family Medicine | 5230 Pacific Concourse Dr Ste 110, Los Angeles, CA 90045-6258 | 2020-03-25 |
| 1760012108 | Majid Sabour Md. PC. | Family Medicine | 1125 S Beverly Dr Ste 420, Los Angeles, CA 90035-1191 | 2020-01-24 |
| 1164061461 | Sequoia Quality Health Inc | Family Medicine | 2007 Wilshire Blvd Fl 3, Los Angeles, CA 90057-3519 | 2020-01-03 |
| 1437792447 | Northeast Community Clinic | Family Medicine | 1414 S Grand Ave Ste 300, Los Angeles, CA 90015-3072 | 2019-10-22 |
| 1386298867 | Prompt Healthcare, Inc., A Medical Corporation | Family Medicine | 1972 West 48th Street, #a, Los Angeles, CA 90062 | 2019-08-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on JASON NIKZAD.
| 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.