Jason A Black, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63632 Issued in CA

Practice address

24680 Jefferson Ave
Ste a
Murrieta, CA 92562-9023

Phone

(951) 677-2252

Fax

(888) 379-5709

NPI assigned

Feb 16, 2006

Last updated

Jan 25, 2016By the provider in NPPES

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

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

Internal Medicine

Education

University of Southern California Keck School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Care Home Health Services, Inc Home health agency, Temecula, CA, CCN 058146
• Lorian Health Home health agency, Riverside, CA, CCN 059464
• Advantage Health Systems Home health agency, Riverside, CA, CCN 059476
• Bridge Home Health Home health agency, Murrieta, CA, CCN 559145
• Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14459/brand/1/csg/1/fhir/r4
• Direct secure messaging: jason.black.p53@direct.kmsm.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jason a. Black M.D., Inc.

  dba Valley Internal Physicians

  • Primary Care Clinic/Center
  • Murrieta, CA
  • NPI 1902113186
  Medicare reassignment NPD Authorized official
• Pacific Crest Medical Group Inc

  • Specialist
  • Dana Point, CA
  • NPI 1932131653
  NPD (past)
• Universal Health Services of Rancho Springs Inc

  dba Southwest Healthcare - Inland Valley Hospital

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  NPD (past)

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

• Bridge Home Health Riverside LLC

  dba Bridge Home Health

  • Home Health Agency
  • Murrieta, CA
  • NPI 1174092423
  Care Compare affiliation
• Egb Holdings

  dba Advantage Health Systems

  • Home Health Agency
  • Riverside, CA
  • NPI 1558658864
  Care Compare affiliation
• Loma Linda University Medical Center-Murrieta

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1588908388
  Care Compare affiliation
• Lorian Health

  • Home Health Agency
  • Riverside, CA
  • NPI 1578882833
  Care Compare affiliation
• Valley Care Home Health Services, Inc.

  • Home Health Agency
  • Temecula, CA
  • NPI 1205839172
  Care Compare affiliation

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1073587887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24680 JEFFERSON AVE",
            "address_2": "STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629023",
            "telephone_number": "951-677-2252",
            "fax_number": "888-379-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24680 JEFFERSON AVE",
            "address_2": "STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629023",
            "telephone_number": "951-677-2252",
            "fax_number": "888-379-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Biney, MBCHB
• Bio-Medical Applications of California, Inc. (Fresenius Kidney Care Murrieta Dialysis)
• Birthstone Womens Wellness
• Anna Bisou
• Sojourner Lynn Bixler
• Richard R Black, DO
• Lisa J Blais, NP
• Laurie Blanscet, DO
• Gracie Blawn
• BLC Chancellor-Murrieta LH, LLC (Brookdale Murrieta)

• Internal Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.