Active NPI
Jukes P Namm, M.D.
- Surgery Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A97112
- Practice address
- 11175 Campus Street
Suite 21111
Loma Linda, CA 92350 - Phone
- (909) 558-4286
- NPI assigned
- May 14, 2007
- Last updated
- Mar 29, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A97112 | CA | Primary |
| Surgery Physician | 208600000X | 036129327 | IL |
Addresses
Primary practice location
11175 Campus Street
Suite 21111
Loma Linda, CA 92350
Mailing address
11175 Campus Street
Suite 21111
Loma Linda, CA 92350
Phone (909) 558-4286
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
- Surgical Oncology
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11370 Anderson St
Suite B800
Loma Linda, CA 92354-3450
Phone (909) 558-2848
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 15 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97112 | CA | MD | Surgery Physician |
| 036129327 | IL | MD | Surgery Physician |
| 97112 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Surgery | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Neurological Surgery | Past | Accepting new patients |
| Loma Linda University Children's Hospital | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Neurological Surgery | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207
11234 Anderson St
#A220
Loma Linda, CA 92350
Phone (909) 558-4126
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2600
11370 Anderson St
Ste B800
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Vascular Surgery Physician
- Temecula, CA
- NPI 1891960415
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
Neurological Surgery
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1528018553
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
dba Loma Linda University Medical Center-Murrieta
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1336355957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "SUITE 21111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 CAMPUS STREET",
"address_2": "SUITE 21111",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMM",
"first_name": "JUKES",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A97112",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036129327",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.