Robert James Jaffe, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34013 Issued in CA

Practice address

22139 Burbank Blvd Unit 5
Woodland Hills, CA 91367-6224

Phone

(818) 713-1378

Fax

(818) 713-1378

NPI assigned

Aug 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Dermatology

Education

University of Cincinnati College of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg a Professional Medical CorporationGroup PAC ID 9830092279, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles (5 of 6)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: robert.jaffe.p1@direct.lakeside.nextgenshare.com

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.

• Amg, a Professional Medical Corporation

  • Internal Medicine Physician
  • Alhambra, CA
  • NPI 1558306266
  Medicare reassignment Care Compare group
• Ardmore Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1124189212
  Medicare reassignment NPD
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350

  Internal Medicine

  Medicare reassignment NPD
• Ardmore Medical Group

  • General Practice Physician
  • El Monte, CA
  • NPI 1578624672
  NPD
• Ardmore Medical Group

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1770649097
  NPD
• Carbon Health Medical Group of California PC

  • Urgent Care Clinic/Center
  • Berkeley, CA
  • NPI 1417294232
  NPD (past)

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1326328444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22139 BURBANK BLVD",
            "address_2": "SUITE FIVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676224",
            "telephone_number": "818-713-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22139 BURBANK BLVD UNIT 5",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676224",
            "telephone_number": "818-713-1378",
            "fax_number": "818-713-1378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22139 Burbank Blvd Unit 5",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913676224",
            "country_code": "US",
            "telephone_number": "818-713-1378",
            "fax_number": "818-713-1378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Blue Jackson
• Nili Jacob
• Elizabeth Jacobo
• Jacqueline S Williams Psychologist Incorporated
• Jasmine Jafari, MD
• Svetlana Jahangard
• Nooshin Jahangiri
• Ann Jahns, RBT
• Kimberly Young Jahoda
• Sameer Dilip Jain, DDS, MS, MSD

• Internal Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.