Individual provider Active NPI

Jeremy Schwieger, M.D.

  • Nephrology Physician
  • Tarzana, CA
National Provider Identifier
1164453437
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A44951 Issued in CA
Practice address
18840 Ventura Blvd Ste 207
Tarzana, CA 91356-3381
Phone
(818) 757-1212
Fax
(818) 757-1520
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A44951 CA Primary

Addresses

Primary practice location

18840 Ventura Blvd Ste 207
Tarzana, CA 91356-3381

Mailing address

18375 Ventura Blvd Ste 628
Tarzana, CA 91356-4218
Phone (818) 206-8575

Other identifiers 1

IdentifierTypeStateIssuer
00A449510MedicaidCA

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
I20040504000237 CA Practitioner - Internal MedicinePractitioner - Nephrology 5092703561 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44951CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Valley Partners, Inc Current Accepting new patients

Locations

5525 Etiwanda Ave
Ste 211
Tarzana, CA 91356
Phone (818) 609-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCHDAD

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1164453437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD STE 628",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "818-206-8575",
            "fax_number": "818-757-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18840 VENTURA BLVD STE 207",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563381",
            "telephone_number": "818-757-1212",
            "fax_number": "818-757-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIEGER",
        "first_name": "JEREMY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A44951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A449510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.