Jack Purdy MD Inc
Jack Purdy MD Inc is a healthcare organization registered as Orthopaedic Surgery Physician in Encino, CA, holding Type 2 (organization) NPI 1154510899 since 2007. The authorized official on file is Jack Purdy, Owner/ Ceo Physcian and Surgeon.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154510899 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack Purdy MD Inc |
| Practice address | 17525 VENTURA BLVD STE 203, Encino, CA, 91316 |
| Phone | 8189860200 |
| Fax | 8189864393 |
| Enumeration date | 2007-10-18 |
| Last updated in NPPES | 2010-02-26 |
Authorized official
| Name | Jack Purdy |
|---|---|
| Title | Owner/ Ceo Physcian and Surgeon |
| Phone | 3104533533 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery Physician | Primary | G31387 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G31387 | Other | CA | STATE LICENSE |
Copy-ready billing details
Provider: Jack Purdy MD Inc NPI: 1154510899 Taxonomy: 207X00000X (Orthopaedic Surgery Physician) Address: 17525 VENTURA BLVD STE 203, Encino, CA, 91316
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205903762 | Robert Hashemiyoon | Individual | Internal Medicine Physician | Encino, CA |
| 1427225440 | Elliot Ryan Carlisle MD Inc | Organization | Orthopaedic Surgery of the Spine Physician | Encino, CA |
| 1457687931 | Clifford Kahn MD | Organization | Orthopaedic Foot and Ankle Surgery Physician | Encino, CA |
| 1629382031 | California Orthopedics and Sports Medicine Associates | Organization | Orthopaedic Surgery Physician | Encino, CA |
| 1336018670 | Medical Mind Healing Center, Inc. | Organization | General Practice Physician | Encino, CA |
Verify this record
Cross-check NPI 1154510899 against the authoritative CMS record: view Jack Purdy MD Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Jack Purdy MD Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-26.