Provider Type Icon

JACK PATTERSON M.D. NPI 1396738993


NPI Information

NPI: 1396738993
Provider Name: JACK PATTERSON, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
15243 VANOWEN ST
SUITE 301
VAN NUYS, CA
ZIP 91405
Phone: (818) 782-5041
Get Directions

Jack Patterson, M.D. is a cardiovascular disease internal medicine in Van Nuys, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Jack Patterson, M.D. NPI is 1396738993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15243 VANOWEN ST
SUITE 301
VAN NUYS, CA
ZIP 91405-605
Phone: (818) 782-5041
Fax: (818) 782-4864

The enumeration date for this NPI number is 8/30/2005 and was last updated on 2/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseG24768CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WG24768LMEDICARE PINCALIFORNIA
2WG24768FMEDICARE PINCALIFORNIA
3WG24768KMEDICARE PINCALIFORNIA
400G24768MEDICAIDCALIFORNIA
5WG24768JMEDICARE PINCALIFORNIA
6WG24768DMEDICARE PINCALIFORNIA
7WG24768NMEDICARE PINCALIFORNIA
8HW13403MEDICARE PINCALIFORNIA
9HW13403AMEDICARE PINCALIFORNIA
10A42381MEDICARE UPINCALIFORNIA
11WG24768IMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.