Individual provider Active NPI

Jeffrey William Edmunds, D.O., M.S., R.D.

  • Internal Medicine Physician
  • Murrieta, CA
National Provider Identifier
1376737601
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CA20A13462 Issued in CA
Practice address
24909 Madison Ave Unit 922
Murrieta, CA 92562-9731
Phone
(562) 841-0023
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 845941 TX
Internal Medicine Physician 207R00000X CA20A13462 CA Primary

Addresses

Primary practice location

24909 Madison Ave Unit 922
Murrieta, CA 92562-9731

Mailing address

24909 Madison Ave Unit 922
Murrieta, CA 92562-9731
Phone (562) 841-0023

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
I20160113001282 CA Practitioner - Internal Medicine 1951603570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Crossing CorporationGroup PAC ID 5294721197, 16 clinicians

Practice addresses (Care Compare)

39765 Date St
Suite 102
Murrieta, CA 92563-2005
Phone (951) 894-4665

Hospital & facility affiliations

  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Merit-based Incentive Payment System (MIPS)

Final score
55.61 of 100Reported as individual
Quality
55.21
Improvement activities
0
Cost
67.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
845941TXMDRegistered Dietitian
CA20A13462CAMDInternal Medicine Physician
13462CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Crossing Corporation Internal Medicine CurrentSince Sep 28, 2015 Accepting new patients
Choice Therapy, P.a. PastSince Sep 1, 2009 Accepting new patients

Locations

39765 Date St
Ste 102
Murrieta, CA 92563

39765 Date St
Ste 100
Murrieta, CA 92563
Phone (951) 279-0100

Interoperability endpoints

  • Direct secure messaging: jedmunds65181@direct.llu.edu

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.

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1376737601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24909 MADISON AVE UNIT 922",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629731",
            "telephone_number": "562-841-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24909 MADISON AVE UNIT 922",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629731",
            "telephone_number": "562-841-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O., M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "845941",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "CA20A13462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.