James Keller Wortham, MD

General Practice Physician · Glendale, CA

Individual Active NPI

NPI number 1528114410

Practice location

1030 S Glendale Ave
Suite 503
Glendale, CA 91205-5612
Phone
(818) 547-5400
Fax
(818) 547-3380

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NPI record

NPI
1528114410
Entity type
Individual (Type 1)
Enumeration date
January 25, 2007
Last updated
November 12, 2021
Certified
November 12, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X A88510 CA
Internal Medicine Physician 207R00000X A88510 CA

Mailing address

1725 Monterey Blvd
Hermosa Beach, CA 90254-2905
Phone
(213) 700-8488

Other practice locations (1)

  • 2258 Foothill Blvd Ste 200, LA Canada, CA 91011-1472 · (818) 248-8998

About Dr. Wortham

James Keller Wortham, MD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1030 S Glendale Ave, Suite 503, Glendale, CA 91205-5612. The NPI number 1528114410 was assigned on January 25, 2007 and the record was last updated on November 12, 2021.

Dr. Wortham lists 2 licenses in the registry: #A88510 (CA) for General Practice Physician; #A88510 (CA) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James Keller Wortham, MD?

The NPI number is 1528114410.

What is the phone number of Dr. Wortham?

The phone number listed for the practice location is (818) 547-5400.

Where is Dr. Wortham located?

1030 S Glendale Ave, Suite 503, Glendale, CA 91205-5612.

What is the taxonomy code for Dr. Wortham?

The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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