Individual provider Active NPI

Jason Matthew Janoian

  • Surgical Physician Assistant
  • Lakewood, CA
National Provider Identifier
1750859302
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
56342 Issued in CA
Practice address
5750 Downey Ave Ste 308
Lakewood, CA 90712-1482
Phone
(562) 633-3787
Fax
(562) 633-1977
NPI assigned
Nov 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56342 CA
Surgical Physician Assistant 363AS0400X 56342 CA Primary

Addresses

Primary practice location

5750 Downey Ave Ste 308
Lakewood, CA 90712-1482

Mailing address

PO Box 15848
Newport Beach, CA 92659-5848
Phone (657) 241-3600

Other practice location 1

3828 Schaufele Ave Ste 320
Long Beach, CA 90808
Phone (562) 348-4588

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190502001053 CA Practitioner - Physician Assistant 3678815131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commons Clinic Medical Group, PCGroup PAC ID 6204221096, 21 clinicians
Sports and Spine OrthopaedicsGroup PAC ID 8224028378, 14 clinicians

Practice addresses (Care Compare)

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6393
Phone (310) 437-7925

23456 Hawthorne Blvd
Torrance, CA 90505-4716
Phone (310) 742-8388

3828 Schaufele Ave
Suite 320
Long Beach, CA 90808-1793
Phone (562) 348-4588

5750 Downey Ave
Suite 308
Lakewood, CA 90712-1482
Phone (562) 633-3787

Hospital & facility affiliations

  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach - Lakewood Orthopedic Institute Surgical CurrentSince Jan 21, 2019 Accepting new patients
Commons Clinic Medical Network, PC Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

5750 Downey Ave
Ste 308
Lakewood, CA 90712
Phone (562) 633-3757

3828 Schaufele Ave
Ste 320
Long Beach, CA 90808
Phone (562) 348-4588

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

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": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1750859302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15848",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595848",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 308",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121482",
            "telephone_number": "562-633-3787",
            "fax_number": "562-633-1977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 Schaufele Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "90808",
            "country_code": "US",
            "telephone_number": "562-348-4588",
            "fax_number": "562-420-2545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANOIAN",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56342",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "56342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.