Active NPI
Andrew Germanovich, D.O., M.S.
- Interventional Pain Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 20A12144
- Practice address
- 1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246 - Phone
- (657) 210-4096
- Fax
- (657) 210-4233
- NPI assigned
- Jun 5, 2008
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 20A12144 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | 20A12144 | CA | Primary |
Addresses
Primary practice location
1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246
Mailing address
1120 W. la Veta Avenue
Suite 300
Orange, CA 92868-4246
Phone (657) 210-4096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114231 | Other | CA | MEDICARE PTAN |
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
- Anesthesiology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 W la Veta Ave
Suite 300
Orange, CA 92868-4246
Phone (714) 598-1745
Hospital & facility affiliations
- Providence St. Joseph Hospital
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.98 of 100
- Quality
- 79.68
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 65.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12144 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine and Sports Specialities Medical Group | Pain Medicine | Current | Accepting new patients |
Locations
1120 W La Veta Ave
Ste 300
Orange, CA 92868
Phone (657) 210-4096
Interoperability endpoints
- andrew.germanovich@sass.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Orange, CA
- NPI 1013306174
Pain Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1043479835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W. LA VETA AVENUE",
"address_2": "SUITE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684246",
"telephone_number": "657-210-4096",
"fax_number": "657-210-4233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W. LA VETA AVENUE",
"address_2": "SUITE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684246",
"telephone_number": "657-210-4096",
"fax_number": "657-210-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMANOVICH",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.O., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "20A12144",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "20A12144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "114231",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.