Jeffrey Philip Bourne, M.D.
NPI 1164569091ActiveIndividual· Pediatrics· Los Angeles, CA
Pediatrics (M.D.) in Los Angeles, California, licensed in CA and FL, with an NPI issued in January 2007. Part D covered 69 prescriptions written in 2024, 80% of them generic.
Overview
| NPI | 1164569091 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | Mar 29, 2021 |
| Certified by provider | Mar 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | G86941 | CA |
| Pediatrics | 208000000X | ME66931 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 69 · 73 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $9,332 |
| Generic share | 80% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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