Jason Edward Groomer, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8134 Issued in CA

Practice address

18531 Roscoe Blvd Ste 215
Northridge, CA 91324-5975

Phone

(818) 700-0411

NPI assigned

Aug 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 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

Family PracticeAlso: Osteopathic Manipulative Medicine

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Village Health Clinic PCGroup PAC ID 4880076215, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Dream Home Health Inc Home health agency, Northridge, CA, CCN 753193

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Valley Village Health Clinic PC

  • Internal Medicine Physician
  • Valley Village, CA
  • NPI 1881330603
  Medicare reassignment Care Compare group NPD Authorized official
• Total Health Care Network Inc

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1003284597

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD
• J.Ting Medical Corporation

  • General Practice Physician
  • Glendale, CA
  • NPI 1437100385
  NPD (past)

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

• California Dream Home Health Care Inc

  • Home Health Agency
  • Northridge, CA
  • NPI 1356968671
  Care Compare affiliation

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1619986965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 PLATT AVENUE",
            "address_2": "# 827",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-825-7174",
            "fax_number": "818-579-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18531 ROSCOE BLVD STE 215",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245975",
            "telephone_number": "818-700-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Corbin Avenue",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "91356",
            "country_code": "US",
            "telephone_number": "818-705-1333",
            "fax_number": "818-344-3191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N Pacific Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912024313",
            "country_code": "US",
            "telephone_number": "818-700-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROOMER",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A8134",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Amarilis Green
• Andrea Penny Greenblatt
• Marcia Louise Greimann, OT
• Sharon Grewal, MD
• Teodik Grigorian
• Kevin H Gropp, DDS
• Elliott Henry Grumer, M.D.
• Carol Guardado
• Katherine Guardado, FNP
• Shannen Manuel Guarina, MD

• Family Medicine Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.