Individual provider Active NPI

Jan H Merman, M.D.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1578650016
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G35728 Issued in CA
Practice address
5901 W Olympic Blvd Ste 507
Los Angeles, CA 90036-4670
Phone
(323) 917-5183
Fax
(323) 917-5190
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 635728 OH
Neurology Physician 2084N0400X G35728 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 507
Los Angeles, CA 90036-4670

Mailing address

5901 W Olympic Blvd Ste 507
Los Angeles, CA 90036-4670
Phone (323) 917-5183

Other identifiers 1

IdentifierTypeStateIssuer
00G357280MedicaidCA

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
I20090204000384 CA Practitioner - Internal MedicinePractitioner - Neurology 3173687233 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Neurology
Education
University of Miami, LM Miller School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5901 W Olympic Blvd
Suite 507
Los Angeles, CA 90036-4670
Phone (323) 917-5183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35728CAMDNeurology Physician
635728OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parviz D. Daniels, M.D.,, F.a.C.S., Inc Past Accepting new patients

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1578650016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364670",
            "telephone_number": "323-917-5183",
            "fax_number": "323-917-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364670",
            "telephone_number": "323-917-5183",
            "fax_number": "323-917-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMAN",
        "first_name": "JAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "635728",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G35728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G357280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.