Individual provider Active NPI

Jaffar Abbas Tremazi, MD

  • Rheumatology Physician
  • Pomona, CA
National Provider Identifier
1649248782
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A82895 Issued in CA
Practice address
1904 N Orange Grove Ave
Pomona, CA 91767-3008
Phone
(909) 469-1823
Fax
(909) 469-1827
NPI assigned
Mar 14, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A82895 CA
Rheumatology Physician 207RR0500X A82895 CA Primary

Addresses

Primary practice location

1904 N Orange Grove Ave
Pomona, CA 91767-3008

Mailing address

840 Towne Center Dr
Chaparral Medical Group
Pomona, CA 91767-5900
Phone (909) 398-1550

Other identifiers 1

IdentifierTypeStateIssuer
00A828950MedicaidCA

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
I20050914000325 CA Practitioner - RheumatologyPractitioner - Internal Medicine 3072546712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1904 N Orange Grove Ave
Pomona, CA 91767-3008
Phone (909) 469-1823

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.08 of 100Reported as group
Quality
40.87
Promoting interoperability
75
Improvement activities
40
Cost
74.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82895CAMDPharmacist
A82895CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Chaparral Medical Group, Inc. Rheumatology Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Nov 1, 2005 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Oct 1, 2005 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Dignity Health Past Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

160 E Artesia St
Ste 360
Pomona, CA 91767
Phone (909) 629-4604

1866 N Orange Grove Ave
Ste 101
Pomona, CA 91767
Phone (909) 505-1078

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1904 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 469-1823

790 E Bonita Ave
Fl 2
Pomona, CA 91767
Phone (909) 447-8585

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

1330 San Bernardino Rd
Ste L
Upland, CA 91786
Phone (909) 833-0110

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1649248782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "address_2": "CHAPARRAL MEDICAL GROUP",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 N ORANGE GROVE AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673008",
            "telephone_number": "909-469-1823",
            "fax_number": "909-469-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMAZI",
        "first_name": "JAFFAR",
        "middle_name": "ABBAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82895",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A82895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A828950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.