Active NPI
Jeremy Cameron Davis, M.D.
- Dermatology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A131032
- Practice address
- 8641 Wilshire Blvd Ste 115
Beverly Hills, CA 90211-2919 - Phone
- (310) 855-7002
- Fax
- (310) 855-7003
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A131032 | CA | |
| Dermatology Physician | 207N00000X | A131032 | CA | Primary |
Addresses
Primary practice location
8641 Wilshire Blvd Ste 115
Beverly Hills, CA 90211-2919
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2625 W Alameda Ave Ste 404
Burbank, CA 91505-4817
Phone (818) 843-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19950 Rinaldi St
Suite 300
Porter Ranch, CA 91326-4141
Phone (818) 271-2400
200 Medical Plaza
Suite 450
Los Angeles, CA 90095-0001
Phone (310) 825-6911
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 84 |
| Removal of skin lesions | 86 |
| Removal of skin cancer | 326 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131032 | CA | MD | Professional Counselor |
| A131032 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Dermatology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| UCLA Medical Group | Dermatology | Past | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients |
Locations
8641 Wilshire Blvd
Ste 115
Beverly Hills, CA 90211
Phone (310) 855-7002
2625 W Alameda Ave
Ste 404
Burbank, CA 91505
Phone (818) 260-8733
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
200 Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6751
200 UCLA Medical Plz
Ste 450
Los Angeles, CA 90095
Phone (310) 825-6911
19950 Rinaldi St
Ste 300
Porter Ranch, CA 91326
Phone (818) 271-2400
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
2001 Santa Monica Blvd
Ste 1070
Santa Monica, CA 90404
Phone (310) 315-7900
2020 Santa Monica Blvd
Ste 510
Santa Monica, CA 90404
Phone (310) 633-8400
14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303
14445 Olive View Dr
#2C155
Sylmar, CA 91342
Phone (818) 364-3001
100 Moody Ct
Ste 110
Thousand Oaks, CA 91360
Phone (805) 418-3500
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
-
- Dermatology Physician
- Los Angeles, CA
- NPI 1568431310
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1013232537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8641 WILSHIRE BLVD STE 115",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112919",
"telephone_number": "310-855-7002",
"fax_number": "310-855-7003"
}
],
"practiceLocations": [
{
"address_1": "2625 W Alameda Ave Ste 404",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054817",
"country_code": "US",
"telephone_number": "818-843-9020",
"fax_number": "818-843-9021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JEREMY",
"middle_name": "CAMERON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A131032",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A131032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.