Individual provider Active NPI

John M. Zeroogian, M.D.

  • Gastroenterology Physician
  • Pasadena, CA
National Provider Identifier
1437149226
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
73813 Issued in MA
Practice address
630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
Phone
(626) 449-9920
Fax
(626) 578-7366
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 033771 CT
Gastroenterology Physician 207RG0100X 73813 MA Primary

Addresses

Primary practice location

630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283

Mailing address

630 S Raymond Ave Unit 240
Pasadena, CA 91105-3283
Phone (626) 449-9920

Other identifiers 4

IdentifierTypeStateIssuer
073813OtherMATUFTS HEALTH PLAN
3127125MedicaidMA
J14535OtherCTBLUE CROSS BLUE SHIELD MA
100000307OtherMABLUE CROSS BLUE SHIELD CT

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
I20191115002021 CA Practitioner - Gastroenterology 4082513130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

23600 Telo Ave
Suite 220
Torrance, CA 90505-4039
Phone (310) 534-8400

50 Alessandro PL
Suite 410
Pasadena, CA 91105-3175
Phone (626) 793-7114

9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944

Hospital & facility affiliations

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
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73813MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Institute of the South Bay Current Accepting new patients
Genesis Healthcare Partners PC CurrentSince Oct 1, 2022 Accepting new patients
Skyline Urology Current Accepting new patients

Locations

225 W Broadway
Ste 350
Glendale, CA 91204
Phone (626) 808-4754

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

50 Bellefontaine St
Ste 308
Pasadena, CA 91105
Phone (626) 473-0301

630 S Raymond Ave
Unit 240
Pasadena, CA 91105
Phone (626) 449-9920

50 Alessandro Pl
Ste 410
Pasadena, CA 91105
Phone (626) 793-7114

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1437149226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 240",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-449-9920",
            "fax_number": "626-578-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEROOGIAN",
        "first_name": "JOHN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "033771",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "73813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "073813",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3127125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "J14535",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD CT",
            "identifier": "100000307",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.