Individual provider Active NPI

Jeffrey Gramer, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1376684902
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42290 Issued in CA
Practice address
8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714
Phone
(310) 385-3432
Fax
(310) 314-8763
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G42290 CA Primary

Addresses

Primary practice location

8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714

Mailing address

PO Box 54679
Los Angeles, CA 90054-0679
Phone (310) 385-3432

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
I20051026001139 CA Practitioner - Internal Medicine 1254358500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42290CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 1, 2006 Accepting new patients
Prairie Medical Group Past Accepting new patients

Locations

250 N Robertson Blvd
Ste 606
Beverly Hills, CA 90211
Phone (310) 385-2940

8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4644 Lincoln Blvd
Ste 428
Marina del Rey, CA 90292
Phone (310) 306-1888

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: jgramer102828@direct.cshs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1376684902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540679",
            "telephone_number": "310-385-3432",
            "fax_number": "310-247-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 WILSHIRE BLVD FL 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112714",
            "telephone_number": "310-385-3432",
            "fax_number": "310-314-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.