NPIMap

Organization Active NPI

Jeffrey Demian Inc

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
National Provider Identifier
1306339759
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JEFFREY DEMIAN INC
Practice address
3820 Del Amo Blvd Ste 215
Torrance, CA 90503-2148
Phone
(310) 750-4511
Fax
(213) 270-9373
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Jeffrey Demian, DPMNPI 1922477280
Title
Owner
Phone
(310) 978-7579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3820 Del Amo Blvd Ste 215
Torrance, CA 90503-2148

Mailing address

22633 Anza Ave
Torrance, CA 90505-3418
Phone (310) 978-7579

Other practice location 1

858 W La Deney Dr
Ontario, CA 91762-1222
Phone (909) 438-1984

Other practice location 2

414 E Blue Jay Way
Ontario, CA 91761-5965
Phone (909) 202-7102

Other practice location 3

5747 Philadelphia St
Chino, CA 91710-2642
Phone (909) 627-7693

Other practice location 4

6351 Nantucket Ct
Chino, CA 91710-2767
Phone (909) 270-3017

Other practice location 5

5747 Philadelphia St
Chino, CA 91710-2642
Phone (909) 627-7693

Other practice location 6

12420 Yorba Ave
Chino, CA 91710-2256
Phone (909) 627-5774

Other practice location 7

22633 Anza Ave
Torrance, CA 90505
Phone (310) 978-7579

Other practice location 8

930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004

Other practice location 9

930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004

Other practice location 10

930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004

Other names 1

  • Anywhere Foot and Ankle Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180905001021 CA Part B Supplier - Clinic/Group Practice 4880944339 Receives reassigned benefits from 45 practitioners
Practice locations: Cerritos, CA; Upland, CA; Pico Rivera, CA; Ontario, CA; Chino, CA; Downey, CA
O20230621001245 AZ Part B Supplier - Clinic/Group Practice 4880944339 Receives reassigned benefits from 5 practitioners
Practice locations: Green Valley, AZ

National Provider Directory

National Provider Directory

Locations

17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511

17215 Studebaker Rd
Cerritos, CA 90703
Phone (562) 756-7367

3820 Del Amo Blvd
Ste 215
Torrance, CA 90503
Phone (310) 750-4511

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1306339759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22633 ANZA AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053418",
            "telephone_number": "310-978-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 DEL AMO BLVD STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032148",
            "telephone_number": "310-750-4511",
            "fax_number": "213-270-9373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 W La Deney Dr",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917621222",
            "country_code": "US",
            "telephone_number": "909-438-1984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 E Blue Jay Way",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917615965",
            "country_code": "US",
            "telephone_number": "909-202-7102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5747 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102642",
            "country_code": "US",
            "telephone_number": "909-627-7693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6351 Nantucket Ct",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102767",
            "country_code": "US",
            "telephone_number": "909-270-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5747 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102642",
            "country_code": "US",
            "telephone_number": "909-627-7693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12420 Yorba Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917102256",
            "country_code": "US",
            "telephone_number": "909-627-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22633 Anza Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "90505",
            "country_code": "US",
            "telephone_number": "310-978-7579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112654",
            "country_code": "US",
            "telephone_number": "760-256-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112654",
            "country_code": "US",
            "telephone_number": "760-256-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112654",
            "country_code": "US",
            "telephone_number": "760-256-1004",
            "fax_number": "760-256-1055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY DEMIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "DEMIAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-978-7579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anywhere Foot and Ankle Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.