James Keller Wortham, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A88510 Issued in CA

Practice address

1030 S Glendale Ave
Suite 503
Glendale, CA 91205-5612

Phone

(818) 547-5400

Fax

(818) 547-3380

NPI assigned

Jan 25, 2007

Last updated

Nov 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Georgetown University School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Medical Group NorthGroup PAC ID 5294132692, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Medical Group North

  • Family Medicine Physician
  • La Canada, CA
  • NPI 1194498873
  Medicare reassignment Care Compare group NPD
• Gregory C Yu MD Inc

  • Internal Medicine Physician
  • La Canada Flintridge, CA
  • NPI 1346350147
  NPD
• Nare Stepanyan MD Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1508498130
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1528114410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 MONTEREY BLVD",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542905",
            "telephone_number": "213-700-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S GLENDALE AVE",
            "address_2": "SUITE 503",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912055612",
            "telephone_number": "818-547-5400",
            "fax_number": "818-547-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2258 Foothill Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "LA Canada",
            "state": "CA",
            "postal_code": "910111472",
            "country_code": "US",
            "telephone_number": "818-248-8998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORTHAM",
        "first_name": "JAMES",
        "middle_name": "KELLER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88510",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A88510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Duayne Woodard, M.D.
• Lonnie O Woodley, MA, MS, LMFT, LEP, P
• Deborah Woody, RD
• Wordsmyway Speech & Language Therapy Inc.
• Robert C Wormus, AUD
• Wound Care Clinic, Inc.
• Wound Care Experts Inc
• Wound Care for All Inc
• Wound Care Solutions of California
• Ava Liliana Woyno

• General Practice Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.