Active NPI
Jerold Thomas Litoff, M.D.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Simi Valley, CA
National Provider Identifier
1710952544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- A29343
- Practice address
- 2925 N. Sycamore Drive
Suite 202
Simi Valley, CA 93065-1208 - Phone
- (805) 527-3222
- Fax
- (805) 582-2651
- NPI assigned
- Feb 23, 2006
- Last updated
- Aug 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | A29343 | CA | Primary |
Addresses
Primary practice location
2925 N. Sycamore Drive
Suite 202
Simi Valley, CA 93065-1208
Mailing address
2925 N. Sycamore Drive
Suite 202
Simi Valley, CA 93065-1208
Phone (805) 527-3222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A293430 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29343 | CA | MD | Clinical Social Worker |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Simi Valley, CA
- NPI 1134313182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217548800000",
"number": "1710952544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 N. SYCAMORE DRIVE",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651208",
"telephone_number": "805-527-3222",
"fax_number": "805-582-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 N. SYCAMORE DRIVE",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651208",
"telephone_number": "805-527-3222",
"fax_number": "805-582-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITOFF",
"first_name": "JEROLD",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2008-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "CA",
"license": "A29343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A293430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
- Kellee Francine Lindauer, PHARMD
- Karen Rita Lindberg, OTR
- David Paul Lindbergh, DDS
- Jessica Ko Liou, PHARM.D.
- Lisa N. Oki, MD a Medical Corporation
- Glenn Harold Littell, M.D.
- Lloyd E. Boland, D.C., a Chiropractic Corporation
- Michelle Lo, MSN, APRN, FNP-C
- Joephillip Alvarado Lobusta
- Ellery Jaimes Lockwood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.