Individual provider Active NPI

Jasondeep Cheema, PA

  • Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1083189757
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA57644 Issued in CA
Practice address
425 Haaland Dr Ste 204
Thousand Oaks, CA 91361-5231
Phone
(805) 497-8080
Fax
(805) 497-8806
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA57644 CA Primary

Addresses

Primary practice location

425 Haaland Dr Ste 204
Thousand Oaks, CA 91361-5231

Mailing address

425 Haaland Dr Ste 204
Thousand Oaks, CA 91361-5231
Phone (805) 497-8080

Other practice location 1

24025 Park Sorrento Ste 405
Calabasas, CA 91302-4037
Phone (818) 222-2055

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708001234 CA Practitioner - Physician Assistant 5991128084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 450
Oxnard, CA 93030-7628
Phone (805) 201-2821

24025 Park Sorrento
Suite 405
Calabasas, CA 91302-4037
Phone (818) 222-2055

2438 N Ponderosa Dr
Suite C105
Camarillo, CA 93010-2465
Phone (805) 388-2068

380 W Central Ave
Suite 320
Brea, CA 92821-3066
Phone (714) 870-7546

4201 Torrance Blvd
Suite 640
Torrance, CA 90503-4524
Phone (310) 543-4444

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA57644CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Men'S Health Foundation Current Accepting new patients
David B. Friedman, MD, Inc Current Accepting new patients
Montage Medical Group Past Accepting new patients

Locations

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

Interoperability endpoints

  • Direct secure messaging: jasondeepcheema@scmmg.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1083189757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-497-8080",
            "fax_number": "805-497-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-497-8080",
            "fax_number": "805-497-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24025 Park Sorrento Ste 405",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913024037",
            "country_code": "US",
            "telephone_number": "818-222-2055",
            "fax_number": "818-222-2821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "JASONDEEP",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.