Individual provider Active NPI

Jawad Bermani, M.D

  • Surgery Physician
  • Lancaster, CA
National Provider Identifier
1164540118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A39444 Issued in CA
Practice address
44725 10TH St W
# 120
Lancaster, CA 93534-3033
Phone
(661) 948-4571
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A39444 CA Primary

Addresses

Primary practice location

44725 10TH St W
# 120
Lancaster, CA 93534-3033

Mailing address

PO Box 2888
Lancaster, CA 93539-2888
Phone (661) 948-4571

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
I20120412000088 CA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 9739340167 Practice locations: Lancaster, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44725 10TH W St
Suite 120
Lancaster, CA 93534-3051
Phone (661) 948-4571

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39444CAMDPharmacist
A39444CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Antelope Valley Health Care District Past Accepting new patients

Organizations & group practices 1

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 1

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164540118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2888",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392888",
            "telephone_number": "661-948-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "# 120",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "661-948-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMANI",
        "first_name": "JAWAD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A39444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.