J. BRUCE JACOBS, MD, INC (NPI# 1588967566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588967566 |
| Entity Type | Organization |
| Organization Name | J. BRUCE JACOBS, MD, INC |
| Other Organization Name | VALLEY RADIOLOGY OF ENCINO |
| Practice Address |
17779 Ventura Blvd Encino CA 91316-3717 |
| Practice Telephone | 8187769100 |
| Practice Fax Number | 8187760544 |
| Mailing Telephone | 8187769100 |
| Mailing Fax Number | 8187760544 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2014-01-28 |
| Authorized Official Name | DR. ALEXANDER USMANOV (PRESIDENT) |
| Authorized Official Telephone | 8187769100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A21604 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1588967566 | 05 |
| Other Name | Type Code |
|---|---|
| VALLEY RADIOLOGY OF ENCINO | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770886756 | J. Bruce Jacobs, Md, Inc | Radiology | 2679 Zoe Ave, Huntington Park, CA 90255-4144 | 2010-12-13 |
| 1245285931 | J. Bruce Jacobs, Md, Inc | Clinic/Center | 2680 Saturn Ave, Suite 100, Huntington Park, CA 90255-4377 | 2006-05-23 |
| 1215230008 | J. Bruce Jacobs, Md, Inc | Radiology | 2680 Saturn Ave, Suite 100, Huntington Park, CA 90255-4377 | 2010-12-16 |
| 1316240393 | J. Bruce Jacobs, Md, Inc | Radiology | 3055 Wilshire Blvd, Suite150, Los Angeles, CA 90010-1108 | 2010-12-13 |
| 1215230297 | J. Bruce Jacobs, Md, Inc | Radiology | 11525 Brookshire Ave, Suite 111, Downey, CA 90241-4985 | 2010-12-13 |
| Street Address |
17779 VENTURA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245286202 | Valley Radiology Inc | Clinic/Center | 17779 Ventura Blvd, Encino, CA 91316-3717 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316243223 | Irwin Steinberg | Radiology | 4054 Sapphire Dr, Encino, CA 91436-3647 | 2011-02-10 |
| 1316127848 | Shicare Radiology Network | Radiology | 5535 Balboa Blvd., Suite 227, Encino, CA 91316-1516 | 2007-11-13 |
| 1962607697 | Patrick Louis Alore | Radiology | 16130 Ventura Blvd Ste 100, Encino, CA 91436-2517 | 2007-06-21 |
| 1740358738 | Thomas Andrew Herbold | Radiology | 16661 Ventura Blvd Ste 100, Encino, CA 91436-1922 | 2006-11-30 |
| 1184672875 | Liberty Pacific Medical Imaging Encino, LLC | Radiology | 16130 Ventura Blvd, #100, Encino, CA 91436-2503 | 2006-05-04 |
| 1043280878 | Edwin L. Rodgers | Radiology | 16120 Sandy Ln, Encino, CA 91436-4222 | 2006-01-24 |
| 1740530765 | Radiology Disc of Miracle Mile Inc | Radiology | 16661 Ventura Blvd Ste 100, Encino, CA 91436-1922 | 2012-09-18 |
| 1134456841 | Svr Imaging LLC | Radiology | 16633 Ventura Blvd, Suite 120, Encino, CA 91436-1801 | 2009-11-17 |
| 1215260377 | Bridge Medical Group, Inc. | Radiology | 15720 Ventura Blvd, Ste. 400, Encino, CA 91436-2914 | 2009-09-08 |
| 1750537494 | Encino Hospital Radiology Medical Group Inc | Radiology | 16237 Ventura Blvd, Encino, CA 91436-2201 | 2008-08-13 |
| Find all providers in ENCINO | ||||
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| 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.