Active NPI
Jacob Schwartz, PA-C
- Medical Physician Assistant
- Panorama City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 60894
- Practice address
- 14860 Roscoe Blvd Ste 200
Panorama City, CA 91402-4683 - Phone
- (310) 553-5203
- NPI assigned
- Mar 11, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PA60894 | CA | |
| Hospitalist Physician | 208M00000X | PA60894 | CA | |
| Medical Physician Assistant | 363AM0700X | 60894 | CA | Primary |
Addresses
Primary practice location
14860 Roscoe Blvd Ste 200
Panorama City, CA 91402-4683
Mailing address
12665 Village LN Apt 2301
Playa Vista, CA 90094-2832
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9640 Venice Blvd
Culver City, CA 90232-2626
Phone (310) 963-0365
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60894 | CA | MD | Hospitalist Physician |
| 60894 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriheal PC | Internal Medicine | Current | Accepting new patients |
Locations
9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171
9640 Venice Blvd
Culver City, CA 90232
Phone (310) 803-6013
1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377
4164 N 4th Ave
Sn Bernrdno, CA 92407
Phone (909) 886-6786
Interoperability endpoints
- jschwartz1358535@direct.uclahealth.org
- https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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
- Bakersfield, CA
- NPI 1760014120
-
- Adolescent Medicine (Internal Medicine) Physician
- Panorama City, CA
- NPI 1972624955
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mission Community Hospital
- General Acute Care Hospital
- Panorama City, CA
- NPI 1750365375
-
dba Sherman Oaks Hospital
- General Acute Care Hospital
- Sherman Oaks, CA
- NPI 1750491247
-
dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1336897040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 VILLAGE LN APT 2301",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14860 ROSCOE BLVD STE 200",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024683",
"telephone_number": "310-553-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "JACOB",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "PA60894",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "PA60894",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "60894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panorama City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.