Jerome Samuel Litvinoff, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G20193 Issued in CA

Practice address

6536 Crystalaire Dr
San Diego, CA 92120-3902

Phone

(619) 583-1200

Fax

(619) 583-8903

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1497717292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6536 CRYSTALAIRE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203902",
            "telephone_number": "619-583-1200",
            "fax_number": "619-583-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 CRYSTALAIRE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203902",
            "telephone_number": "619-583-1200",
            "fax_number": "619-583-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVINOFF",
        "first_name": "JEROME",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G20193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G201930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Martha Littlepage, NP
• Curt M Littler, M.D.
• Trina Marie Littleton, CAS
• Michele L Littrell
• Alison Litvak, PT
• Anna Litwak, M.A.
• Roger D. Litz, O.D.
• Liu Dental Corp
• Liu Dental Corp
• Allison Liu, MS, RD.

• Neurological Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.