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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jeffrey Philip Bourne, M.D.

Pediatrics Physician in Los Angeles, CA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164569091

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Registry record

Entity type Individual (Type 1)
Name Dr. Jeffrey Philip Bourne
Credential M.D.
Sex Male
Practice address 12555 W Jefferson Blvd Ste 302, Los Angeles, CA, 90066
Phone (424) 443-5600
Fax (424) 443-5600
Enumeration date Jan 31, 2007
Last updated in NPPES Mar 29, 2021

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License ME66931 (FL) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License G86941 (CA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1164569091 active?
Yes, as of the latest NPPES snapshot, NPI 1164569091 is active (record last updated 2021-03-29).
How do I verify Jeffrey Bourne's NPI record?
Cross-check NPI 1164569091 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-29.