Individual provider Active NPI

Jeffrey Ijadi, MD

  • Sports Medicine (Family Medicine) Physician
  • Claremont, CA
National Provider Identifier
1134415854
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A126442 Issued in CA
Practice address
1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone
(909) 630-7938
Fax
(909) 469-2118
NPI assigned
Jun 21, 2011
Last updated
Feb 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A126442 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601

Mailing address

1601 Monte Vista Ave Ste 100
Claremont, CA 91711-6601
Phone (909) 630-7938

Other practice location 1

1770 N Orange Grove Ave Ste 101
Pomona, CA 91767-3027
Phone (909) 469-9494

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
I20150528002848 CA Practitioner - Family PracticePractitioner - Sports Medicine 4385881267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Congregational HomesGroup PAC ID 6901907245, 19 clinicians

Practice addresses (Care Compare)

1601 Monte Vista Ave
Suite 100
Claremont, CA 91711-6601
Phone (909) 630-7893

900 E Harrison Ave
Pomona, CA 91767-2075
Phone (909) 624-5061

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine Associates, Inc CurrentSince Jul 1, 2015 Accepting new patients
Premier Family Medicine Associates, Inc CurrentSince Jul 1, 2015 Accepting new patients
Premier Family Medicine Associates, Inc Current Accepting new patients
Premier Family Medicine Associates, Inc Past Accepting new patients

Locations

1601 Monte Vista Ave
Ste 100
Claremont, CA 91711
Phone (909) 630-7938

1770 N Orange Grove Ave
Ste 101
Pomona, CA 91767

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1134415854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 100",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116601",
            "telephone_number": "909-630-7938",
            "fax_number": "909-469-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 N Orange Grove Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-469-9494",
            "fax_number": "909-469-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IJADI",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A126442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.