NPIMap

Individual provider Active NPI

Jeremy Ian Grosser, M.D.

  • Internal Medicine Physician
  • Canoga Park, CA
National Provider Identifier
1235123373
Registry record updated Sep 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67128 Issued in CA
Practice address
7355 Topanga Canyon Blvd Ste 200
Canoga Park, CA 91303-1244
Phone
(818) 885-8500
Fax
(818) 700-5690
NPI assigned
Sep 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67128 CA Primary

Addresses

Primary practice location

7355 Topanga Canyon Blvd Ste 200
Canoga Park, CA 91303-1244

Mailing address

109 Dapplegray Rd
Bell Canyon, CA 91307-1050
Phone (818) 929-2259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000612 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 4385662956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-8500

Hospital & facility affiliations

  • True Care Home Health Services, Inc Home health agency, Canoga Park, CA, CCN 059799
  • True Care Hospice of Northern California, Inc Hospice, Citrus Heights, CA, CCN A01761
  • True Care Hospice Southern California, Inc Hospice, Canoga Park, CA, CCN 921593
  • True Care Hospice, Inc. Hospice, Canoga Park, CA, CCN 551608
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Canyon Oaks Nursing and Rehabilitation Center Nursing home, Canoga Park, CA, CCN 555822
  • Grancell Village of the Jewish Homes for the Aging Nursing home, Reseda, CA, CCN 555137
  • Joyce Eisenberg Keefer Medical Center D/P SNF Nursing home, Reseda, CA, CCN 555846

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67128CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy Ian Grosser MD Inc. Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Jeremy Ian Grosser, M.D., Inc. CurrentSince Sep 5, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients

Locations

7355 Topanga Canyon Blvd
Ste 200
Canoga Park, CA 91303
Phone (818) 762-7171

9301 Oakdale Ave
Ste 200
Chatsworth, CA 91311
Phone (818) 205-0900

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

5950 Canoga Ave
Ste 605
Woodland Hls, CA 91367

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Joyce Eisenberg Keefer Medical CenterReseda, CA, CCN 555846 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 31, 2024
Jul 31, 2024
True Care Hospice of Northern California, Inc.Citrus Heights, CA, CCN A01761 Hospice Contracted Managing Employee May 5, 2023

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 7

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": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1235123373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 DAPPLEGRAY RD",
            "city": "BELL CANYON",
            "state": "CA",
            "postal_code": "913071050",
            "telephone_number": "818-929-2259",
            "fax_number": "818-700-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 TOPANGA CANYON BLVD STE 200",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031244",
            "telephone_number": "818-885-8500",
            "fax_number": "818-700-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSER",
        "first_name": "JEREMY",
        "middle_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-05",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.