Individual provider Active NPI

Jeremy Defranco, M.D.

  • Psychiatry Physician
  • Culver City, CA
National Provider Identifier
1114291010
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A120232 Issued in CA
Practice address
3831 Hughes Ave
Suite 506
Culver City, CA 90232-2751
Phone
(267) 408-7916
NPI assigned
Feb 24, 2012
Last updated
Jun 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A120232 CA Primary

Addresses

Primary practice location

3831 Hughes Ave
Suite 506
Culver City, CA 90232-2751

Mailing address

362 W Palmer Ave
Apartment 3
Glendale, CA 91204-2286
Phone (267) 408-7916

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120821000211 CA Practitioner - Psychiatry 2567619927 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

155 N Lake Ave
Suite 800
Pasadena, CA 91101-1857
Phone (833) 277-0580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120232CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Oct 21, 2019 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
County of Los Angeles CurrentSince Jul 27, 2014 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Oct 21, 2019 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
County of Riverside CurrentSince Mar 12, 2018 Accepting new patients
County of Los Angeles CurrentSince Jul 27, 2014 Accepting new patients
County of Riverside CurrentSince Mar 12, 2018 Accepting new patients
Culver City Psychological Associates, Inc. Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

6167 Bristol Pkwy
Ste 260
Culver City, CA 90230
Phone (424) 331-5604

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

155 N Lake Ave
Ste 800
Pasadena, CA 91101
Phone (254) 835-3911

9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Interoperability endpoints

  • Direct secure messaging: jdefranco124183@direct.llu.edu

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1114291010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 W PALMER AVE",
            "address_2": "APARTMENT 3",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042286",
            "telephone_number": "267-408-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "267-408-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCO",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A120232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.