DR. JAY B MADHURE (NPI# 1770518714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770518714 |
| Entity Type | Individual |
| Full Name | DR. JAY B MADHURE |
| Credential | M.D. |
| Practice Address |
16281 San Fernando Mission Blvd Granada Hills CA 91344-3725 |
| Practice Telephone | 8188384600 |
| Practice Fax Number | 8183667479 |
| Mailing Telephone | 8188384600 |
| Mailing Fax Number | 8183667479 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
A33612 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A336121 | 05 |
| Street Address |
16281 SAN FERNANDO MISSION BLVD |
| City | GRANADA HILLS |
| State | CA |
| Zip Code | 91344-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230296 | A&e Home Health Care Inc | Home Health | 17631 Chatsworth Street Ste B Room C, Granada Hills, CA 91344 | 2020-06-23 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1972066934 | Apple Speech and Educational Services, Inc. | Speech-Language Pathologist | 16853 Rinaldi Street, Granada Hills, CA 91344 | 2019-04-08 |
| 1376016642 | Hypnos Sleep Laboratory & Treatement Center, Inc | Clinic/Center | 17050 Chatsworth Blvd. Suite 243, Granada Hills, CA 91344 | 2019-01-09 |
| 1225503543 | Miguel Angel Salas | Naturopath | 10315 Woodley Ave., Suite 103 & 104, Granada Hills, CA 91344 | 2018-10-13 |
| 1790264588 | Ben Maguerrero | Respiratory Therapist, Registered | 16851 Simonds St, Granada Hills, CA 91344 | 2018-08-13 |
| 1265962856 | Safe Med Tranz Inc. | Non-emergency Medical Transport (VAN) | 16000 Horace St, Granada Hills, CA 91344 | 2017-06-15 |
| 1942731302 | Arthur Perez | Physical Therapy Assistant | 11233 Montgomery Ave., Granada Hills, Granada Hills, CA 91344 | 2017-03-27 |
| 1649718990 | Eugene Tan Aguilar | Nurse Practitioner | 16718 San Fernando Mission Blvd, Granada Hills, CA 91344 | 2017-02-07 |
| 1295282739 | San Fernando Mission Group Home | Residential Treatment Facility, Emotionally Disturbed Children | 17157 San Fernando Mission Blvd., Granada Hills, CA 91344 | 2016-09-01 |
| Find all providers in zip 91344 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247876 | Lori A Musto, Do | Family Medicine | 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 | 2020-05-28 |
| 1548823867 | Inland Empire Medical Group, Inc | Family Medicine | 10250 Country Club Dr Ste A, Jurupa Valley, CA 91752-1328 | 2019-04-22 |
| 1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
| 1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
| 1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
| 1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
| 1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
| 1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
| 1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
| 1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | GRANADA HILLS |
| Zip Code | 91344 |
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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.