| NPI | 1093878258 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-12-19 |
| Last Updated | 2025-04-22 |
| Mailing Address | 6 Jungermann Cir, Suite 203 Saint Peters, MO 63376-1621 United States Phone: (636) 928-1822 | Fax: (636) 441-7033 📍 View Map |
| Primary Practice Address | 3631 Crenshaw Blvd Ste 109 Los Angeles, CA 90016-4869 United States Phone: (323) 732-0100 | Fax: (323) 732-0104 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RC0000X – Internal Medicine, Cardiovascular Disease | MO | R8435 |
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | CA | C50454 |
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About NPI 1093878258
Ron Javdan M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093878258. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Los Angeles, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-12-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093878258?
NPI 1093878258 belongs to Ron Javdan M.D., a Internal Medicine, Cardiovascular Disease in Los Angeles, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093878258 active?
The current status of NPI 1093878258 in the NPPES registry is Active. The record was last updated on 2025-04-22.
What specialty is NPI 1093878258?
NPI 1093878258 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093878258?
You can verify NPI 1093878258 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093878258?
The primary practice address on file for NPI 1093878258 is 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093878258 issued?
NPI 1093878258 was first issued (enumerated) on 2006-12-19. The NPPES record was last updated on 2025-04-22.
Practice Location Map
Ron Javdan is located at 3631 Crenshaw Blvd Ste 109, Los Angeles, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Ron Javdan. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093878258. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | R8435 | MO |
| Internal Medicine, Cardiovascular Disease | C50454 | CA |