Jeremy E Korman MD a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G83221 Issued in CA

Legal business name

JEREMY E KORMAN MD A PROFESSIONAL CORPORATION

Practice address

4644 Lincoln Blvd
Ste 450
Marina del Rey, CA 90292-6374

Phone

(310) 577-5540

Fax

(310) 577-5616

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Tina Napora

Title

Billing Manager

Phone

(310) 325-4415

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Jeremy E Korman MD Apc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeremy E. Korman MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Marina del Rey, CA
  • NPI 1255609004
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jeremy E. Korman MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Marina del Rey, CA
  • NPI 1255609004
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy E Korman, M.D.

  • Surgery Physician
  • Marina del Rey, CA
  • NPI 1508870171
  Medicare reassignment NPD

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1386865798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "STE 450",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-577-5540",
            "fax_number": "310-577-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "STE 450",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-577-5540",
            "fax_number": "310-577-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY E KORMAN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "NAPORA",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-325-4415"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G83221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Valencia Jackson, RNP
• James F Keefe M D Inc
• Luis Albert Japngie, DC
• Navid David Mattew Javaherian, M.D.
• Alice Jeong
• Jeremy E. Korman MD, a Professional Corporation
• Jessica Wright Licensed Professional Clinical Counselor Inc.
• John Zao Zheng Medical Corp
• Johnkim Nguyen MD Inc
• Sharon Lynne Johnson-Magar, LMFT

• Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.