Jeremy Demetri Williams, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A76509 Issued in CA

Practice address

525 N Garfield Ave
Monterey Park, CA 91754-1202

Phone

(626) 307-2129

Fax

(626) 307-2056

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Wake Forest University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gem Medical Group Corporation

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1689364721
  Medicare reassignment Care Compare group NPD
• Golden West Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1053680298
  Medicare reassignment NPD
• Gem Medical Group Corporation

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1689386815
  NPD
• Garfield Emergency Medical Associates, Inc.

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1386688125
  NPD (past)
• Gulfstream Emergency Physicians

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1447428438
  NPD (past)
• Ma Emergency Associates PL

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1295831584
  NPD (past)
• Marshall Amaya & Anton P L

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1669419529
  NPD (past)
• St. Vincent'S Midtown Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1124136403
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Monterey Park Hospital LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1023052230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660519",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660519",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARFIELD AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541202",
            "telephone_number": "626-307-2129",
            "fax_number": "626-307-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JEREMY",
        "middle_name": "DEMETRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A76509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A765090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge Weingarten, MD
• Wendy H. Wu, D.P.M., Inc.
• Wendy Wang M D Inc
• Whidbey Island Public Hospital District
• Irwan Widjaja, L.AC
• Timothy David Williams
• Wilshire District Medical Group
• Winnie K Pang MD Inc
• Winston C San Agustin, M.D Inc
• Lazaro Gurovich Wisnia, M.D.

• Emergency Medicine Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.

Verify at the official NPI Registry.