MR. EDWARD J JAHNKE III (NPI# 1700811312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700811312 |
| Entity Type | Individual |
| Full Name | MR. EDWARD J JAHNKE III |
| Credential | M.D. |
| Practice Address |
501 S Buena Vista St Burbank CA 91505-4809 |
| Mailing Address |
4100 Guardian St Ste 205 Simi Valley CA 93063-6717 |
| Practice Telephone | 8188476983 |
| Mailing Telephone | 8055225940 |
| Mailing Fax Number | 8055772018 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G46668 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316278526 | Edward John Jahnke | Counselor | 611 Saint Joseph Ave, Alcohol & Drug Recovery Services, Marshfield, WI 54449-1832 | 2010-01-28 |
| Street Address |
501 S BUENA VISTA ST |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154315604 | Karen A Ellis | Pathology | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2005-09-09 |
| 1235756321 | James Patrick Heath Murphy | Nurse Practitioner | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-07-06 |
| 1891319406 | Marie Sol Masigan | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-05-31 |
| 1669091971 | Jenny C Wong | Pharmacist | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-04-16 |
| 1548895253 | Nicholas Bobolia IIi | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-03-03 |
| 1689208514 | Scott Park | Registered Nurse | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2020-02-29 |
| 1457902645 | Carina Alayne Hornbrook | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-09-27 |
| 1801443189 | Hanna Amanuel | Social Worker | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-21 |
| 1558916106 | Yasamin Banihashemi | Nurse Practitioner | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-09 |
| 1073168282 | Jenny Lin | Physician Assistant | 501 S Buena Vista St, Burbank, CA 91505-4809 | 2019-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| 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 |
|---|---|---|---|---|
| 1972080356 | Los Alamitos Radiology Group Inc | Radiology | 3406 Kildare Ct, Burbank, CA 91504-1665 | 2018-07-27 |
| 1316205644 | J. Bruce Jacobs, M.d., Inc. | Radiology | 1821 W Olive Ave, Burbank, CA 91506-2435 | 2012-04-24 |
| 1659678654 | Samuel Tokuyama | Radiology | 855 Brown Dr, Burbank, CA 91504-1838 | 2011-02-28 |
| 1376586990 | Marc Lee | Radiology | 1624 West Olive Ave, Suite F, Burbank, CA 91505 | 2006-06-13 |
| 1881698819 | Laurie Anne Cleland | Radiology | 1624 W Olive Ave, Suite F, Burbank, CA 91506-2459 | 2005-06-08 |
| 1134424005 | Reono Bertagnolli A Medical Group | Radiology | 2820 N Ontario St, Burbank, CA 91504-2015 | 2011-01-24 |
| 1366766180 | Beverly Radiology Medical Group | Radiology | 201 S Buena Vista St, Suite #315, Burbank, CA 91505-4569 | 2010-03-23 |
| 1740493048 | Wendy Chern Wan Tien | Radiology | 1624 W Olive Ave, Suite F, Burbank, CA 91506-2459 | 2007-05-07 |
| 1114943446 | Norman Robert Silverman | Radiology | 2820 N Ontario St, Burbank, CA 91504-2015 | 2006-07-13 |
| 1871547034 | Beverly Radiology Medical Group | Radiology | 3808 W Riverside Dr, Suite 120, Burbank, CA 91505-4325 | 2006-05-20 |
| Find all providers in BURBANK | ||||
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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.