Individual provider Active NPI

Jacob Fleischmann, M.D.

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1376563296
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G40660 Issued in CA
Practice address
4841 Hollywood Blvd
Kaiser Permanente
Los Angeles, CA 90027-5301
Phone
(323) 783-6454
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G40660 CA Primary
Hospitalist Physician 208M00000X G40660 CA

Addresses

Primary practice location

4841 Hollywood Blvd
Kaiser Permanente
Los Angeles, CA 90027-5301

Mailing address

131 N Martel Ave
Los Angeles, CA 90074-0001
Phone (323) 931-2555

Other identifiers 3

IdentifierTypeStateIssuer
G40660OtherCACA MEDICAL LICENSE
11880972OtherCACAQH
00G40660MedicaidCA

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
I20081111000546 CA Practitioner - Emergency MedicinePractitioner - Infectious DiseasePractitioner - Internal Medicine 4587723127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physicians Resources IncGroup PAC ID 0547514010, 3 clinicians

Practice addresses (Care Compare)

711 W College St
Suite 188
Los Angeles, CA 90012-1093
Phone (213) 269-4570

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40660CAMDGeneral Practice Dentistry
G40660CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Hospitalists Emergency Physicians Medical Group Inc Hospitalist CurrentSince Aug 7, 2015 Accepting new patients
Global Physicians Resources Inc CurrentSince Feb 12, 2019 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Hospitalist CurrentSince Oct 14, 2017 Accepting new patients
Templeton Inpatient Physicians PC Hospitalist Past Accepting new patients
Diane K. Noyes, MD, a Professional Corp. Past Accepting new patients
Delphi OB-GYN Group of Montgomery County LLC Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

711 W College St
Ste 188
Los Angeles, CA 90012
Phone (213) 261-0889

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1376563296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N MARTEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001",
            "telephone_number": "323-931-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 HOLLYWOOD BLVD",
            "address_2": "KAISER PERMANENTE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275301",
            "telephone_number": "323-783-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHMANN",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G40660",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G40660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G40660",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11880972",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G40660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.