Active NPI
Jeffrey Omer Laterreur, M.D.
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A162873
- Practice address
- 200 UCLA Medical PLZ Ste 420
Los Angeles, CA 90095-8344 - Phone
- (310) 206-6232
- NPI assigned
- Apr 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A162873 | CA | |
| Family Medicine Physician | 207Q00000X | A162873 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 420
Los Angeles, CA 90095-8344
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Los Angeles, CA 90095-0001
100 Medical PLZ
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922
200 Medical Plaza
Los Angeles, CA 90095-0001
200 Medical PLZ
Los Angeles, CA 90095-0001
200 UCLA Medical PLZ
Suite 165 34
Los Angeles, CA 90095-0001
Phone (310) 824-8403
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
514 N Prospect Ave
Redondo Beach, CA 90277-3036
Phone (310) 937-8555
900 Weyburn Place
Suite 14 171
Los Angeles, CA 90095-0001
Phone (310) 825-8173
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| Redondo Emergency Physicians, Inc. | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Family Medicine | Current | Accepting new patients |
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
File 55737
Los Angeles, CA 90074
200 UCLA Medical Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 206-4083
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 50670
Los Angeles, CA 90074
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
13303 Riverside Dr
Sherman Oaks, CA 91423
Phone (818) 287-7409
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Interoperability endpoints
- jlaterreur1217428@direct.uclahealth.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Family Medicine
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
Family Medicine
-
- Emergency Medicine Physician
- Gardena, CA
- NPI 1376834937
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- Urgent Care Clinic/Center
- Santa Clarita, CA
- NPI 1922651561
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701388800000",
"number": "1295189728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 420",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900958344",
"telephone_number": "310-206-6232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATERREUR",
"first_name": "JEFFREY",
"middle_name": "OMER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-21",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A162873",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A162873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.