Individual provider Active NPI

Jeremy Ryan Swisher, MD

  • Sports Medicine (Family Medicine) Physician
  • West Hills, CA
National Provider Identifier
1568048411
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A196735 Issued in CA
Practice address
7230 Medical Center Dr Ste 604
West Hills, CA 91307-4021
Phone
(310) 319-1234
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022-02789 NC
Student in an Organized Health Care Education/Training Program 390200000X
Sports Medicine (Family Medicine) Physician 207QS0010X A196735 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr Ste 604
West Hills, CA 91307-4021

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1920 W 1st St Fl 3
Winston Salem, NC 27104-4220
Phone (336) 716-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221118002812 NC Practitioner - Family Practice 1052720653 Reassigns benefits to 1 organization
I20250612000788 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 1052720653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 2062312291, 71 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 170
Los Angeles, CA 90095-0001
Phone (310) 319-1234

1250 16TH St
Santa Monica, CA 90404-1249

7230 Medical Ctr Dr
Suite 604
West Hills, CA 91307-4021
Phone (818) 657-5640

Hospital & facility affiliations

  • Accentcare UCLA Health, LLC Home health agency, West Hills, CA, CCN 057761
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-02789NCMDFamily Medicine Physician
A196735CAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Sports Medicine CurrentSince Aug 1, 2025 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2025 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Wake Forest Health Network LLC CurrentSince Nov 1, 2022 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Nov 1, 2022 Accepting new patients
Regents of the University of California Current Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

File 54206
Los Angeles, CA 90074

10250 Santa Monica Blvd
Ste 2450
Los Angeles, CA 90067

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

1111 W Inyokern Rd
Ste B
Ridgecrest, CA 93555
Phone (760) 301-6945

1131 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (310) 458-2381

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

7230 Medical Center Dr
Ste 604
West Hills, CA 91307
Phone (818) 348-7253

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1814 Westchester Dr
Ste 302
High Point, NC 27262
Phone (336) 802-2170

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

1814 Westchester Dr
Ste 301
High Point, NC 27262
Phone (336) 802-2025

4515 Premier Dr
Ste 201
High Point, NC 27265
Phone (336) 802-2610

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 7

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 3

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1568048411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR STE 604",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074021",
            "telephone_number": "310-319-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 W 1st St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271044220",
            "country_code": "US",
            "telephone_number": "336-716-4479",
            "fax_number": "336-716-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "JEREMY",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2022-02789",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A196735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.