Individual provider Active NPI

Jared John Szymanski, D.O.

  • Family Medicine Physician
  • Laguna Beach, CA
National Provider Identifier
1558778274
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A18498 Issued in CA
Practice address
370 Ocean Ave
Laguna Beach, CA 92651-2322
Phone
(949) 557-0610
Fax
(949) 557-1610
NPI assigned
Jul 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X UO3957 FL
Family Medicine Physician 207Q00000X 62269 MN
Family Medicine Physician 207Q00000X 20A18498 CA Primary

Addresses

Primary practice location

370 Ocean Ave
Laguna Beach, CA 92651-2322

Mailing address

370 Ocean Ave
Laguna Beach, CA 92651-2322
Phone (949) 557-0610

Other practice location 1

1700 SE Hillmoor Dr
Port St Lucie, FL 34952-7539
Phone (772) 335-9605

Other practice location 2

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone (952) 993-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 28, 2024 through Aug 28, 2026

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18498CAMDFamily Medicine Physician
62269MNMDFamily Medicine Physician
UO3957FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Hoag Hospital PastSince Oct 23, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jared.szymanski@1103273080258564.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1558778274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OCEAN AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512322",
            "telephone_number": "949-557-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 OCEAN AVE",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512322",
            "telephone_number": "949-557-0610",
            "fax_number": "949-557-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 SE Hillmoor Dr",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349527539",
            "country_code": "US",
            "telephone_number": "772-335-9605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Park Nicollet Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554162527",
            "country_code": "US",
            "telephone_number": "952-993-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZYMANSKI",
        "first_name": "JARED",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO3957",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62269",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A18498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.