1. Home
  2. Directory
  3. California
  4. Eagle Rock
  5. General Practice
  6. NPI Profile

JAGA MEDICAL GROUP INC
NPI 1356898357
General Practice in Eagle Rock, CA

Active since September 07, 2016
1400 COLORADO BLVD, A, EAGLE ROCK, CA 90041(323) 999-2250(323) 999-2241 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaga Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAGA MEDICAL GROUP INC (NPI 1356898357) is a healthcare organization registered as a general practice in Eagle Rock, California and active in the NPI registry since September 2016. The organization lists Ardienne Ann Grant, President, as its authorized official.

NPPES Registry Identity

NPI1356898357
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameJAGA MEDICAL GROUP INC
Location Address1400 COLORADO BLVD, AEagle Rock, CA 90041-2321
Mailing Address1400 Colorado Blvd, AEagle Rock, CA 90041-2321 · (323) 999-2250 · Fax (323) 999-2241
Phone(323) 999-2250
Fax(323) 999-2241
Organization SubpartNo
Authorized OfficialArdienne Ann GrantPresident · (323) 999-2250
Enumeration DateSeptember 7, 2016
Last NPPES UpdateOctober 20, 2016
✔ NPI 1356898357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A7285
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1400 COLORADO BLVD, Eagle Rock, CA 90041
Open in Google Maps ↗

Other Identifiers 1

Medicare OSCAR/certification20A7285CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ISAAC ENRIQUE JAKUBOWICZ M.D., M.P.H.
Emergency Medicine (Pediatric Emergency Medicine)
1400 COLORADO BLVD
LOS ANGELES, CA 90041
Los Angeles County (310) 212-7706

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaga Medical Group Inc's NPI number?

The NPI number for Jaga Medical Group Inc is 1356898357. It was assigned to this organization in the NPPES registry on September 7, 2016.

Where is Jaga Medical Group Inc located?

Jaga Medical Group Inc is located at 1400 Colorado Blvd A, Eagle Rock, CA 90041. The listed phone number is (323) 999-2250.

What is Jaga Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jaga Medical Group Inc was last updated on October 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.