Michael Jefferson, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G68903 Issued in CA

Practice address

1509 Wilson Terrace
Glendale, CA 91206-4098

Phone

(818) 409-8000

Fax

(818) 546-5632

NPI assigned

Feb 23, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Anesthesiology

Education

Hahnemann University College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Conejo Los Robles Anesthesiology Medical Group IncGroup PAC ID 7517245541, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Real Care Home Health Home health agency, Van Nuys, CA, CCN 757557
• Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Conejo Los Robles Anesthesiology Medical Group, Inc.

  • Anesthesiology Physician
  • Thousand Oaks, CA
  • NPI 1821171729
  Medicare reassignment Care Compare group NPD
• SNL Medical Center a Medical Corporation

  • Geriatric Medicine (Family Medicine) Physician
  • Van Nuys, CA
  • NPI 1730819079
  Medicare reassignment NPD Authorized official
• Buena Vista Anesthesia Medical Group

  • Anesthesiology Physician
  • Burbank, CA
  • NPI 1366462293
  Medicare reassignment NPD
• Consultants for Anesthesia & Management of Pain

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1952323909
  NPD (past)

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

• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1306890389
  Care Compare affiliation
• Real Care Home Health

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1609535491
  Care Compare affiliation

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1689649469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S LAKE AVE",
            "address_2": "#535",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013010",
            "telephone_number": "626-204-6734",
            "fax_number": "626-396-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TERRACE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064098",
            "telephone_number": "818-409-8000",
            "fax_number": "818-546-5632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G68903",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G68903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G689030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Kang, D.D.S., Inc. (The Tickled Tooth)
• Jean Reitter, DDS, Inc. (Absolute Dental Care)
• Jeannine Scheinhorn MD, a Medical Corporation
• Jeeva LLC (Pacific Grand Pharmacy and Supply)
• Christian Jefferson
• Karine Jeghelian, DC
• Jem Medical Group LLC (ME Healthcare)
• Penny Laine Jenkins, COTA/L
• Jennifer Herbert Dental Corporation
• Jennifer Huddleston, Physician Assistant PC (Thrive Wellness Center For Women)

• Anesthesiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.