Jawad Bermani, M.D
Individual provider Active NPI Surgery Physician · Lancaster, CA
NPI 1164540118 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164540118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- A39444 (CA)
- Practice address
- 44725 10TH St W
# 120
Lancaster, CA 93534-3033 - Phone
- (661) 948-4571
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General 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
- Antelope Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120412000088 | CA | Practitioner - General Surgery |
9739340167 | Practice locations: Lancaster, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39444 | CA | MD | Pharmacist |
| A39444 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antelope Valley Health Care District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A39444 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A394440 | Medicaid | CA |
Other providers in Lancaster, CA
- Jerome Benosa
- Ewa Bensi
- Robert Lewis Berger
- Barry J Berman
- Amina Bermani
- Adrian Bermudez
- Te'Anna Marie Bermudez
- Brittany Sue Bernard
- Clara Marie Berrios
- April Berry
All providers in Lancaster, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.