Individual provider Active NPI

Jim Amerian, M.D.

  • Gastroenterology Physician
  • Tarzana, CA
National Provider Identifier
1366400194
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G44918 Issued in CA
Practice address
18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806
Phone
(818) 708-6000
Fax
(818) 708-6009
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G44918 CA Primary

Addresses

Primary practice location

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-2806

Mailing address

18425 Burbank Blvd
Suite 500
Tarzana, CA 91356-6619
Phone (818) 708-6000

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ70039ZMedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116001051 CA Practitioner - Gastroenterology 1759460868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

15775 Laguna Canyon Rd
Suite 240
Irvine, CA 92618-3191
Phone (949) 753-8844

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44918CAMDDentist
G44918CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors Gastroenterology CurrentSince Nov 1, 2021 Accepting new patients
United Medical Doctors CurrentSince Nov 1, 2021 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

15775 Laguna Canyon Rd
Ste 240
Irvine, CA 92618
Phone (949) 753-8843

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jal102pcs@m1679.primeclinicalsystems.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1366400194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566619",
            "telephone_number": "818-708-6000",
            "fax_number": "818-708-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18425 BURBANK BLVD",
            "address_2": "SUITE 500",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562806",
            "telephone_number": "818-708-6000",
            "fax_number": "818-708-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERIAN",
        "first_name": "JIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G44918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70039Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.