Individual provider Active NPI

Jason Lawrence Greenspan, M.D.

  • Emergency Medicine Physician
  • Tarzana, CA
National Provider Identifier
1780626697
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A70847 Issued in CA
Practice address
18321 Clark St
Tarzana, CA 91356-3501
Phone
(818) 708-5170
Fax
(818) 705-2595
NPI assigned
Jun 12, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A70847 CA Primary

Addresses

Primary practice location

18321 Clark St
Tarzana, CA 91356-3501

Mailing address

PO Box 660640
Arcadia, CA 91066-0640
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A708470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040707000846 CA Practitioner - Emergency Medicine 1456338417 Reassigns benefits to 5 organizations
I20250228002522 NV Practitioner - Emergency Medicine 1456338417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.74
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
79.31
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.64 of 100Reported as group
Quality
80.76
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Aug 15, 2014 Accepting new patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Jan 16, 2002 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Nov 23, 2014 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Jan 1, 2006 Accepting new patients
Edwards MD PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Carl a. Constantine, M.D., a Professional Corporation Past Accepting new patients

Locations

444 E Huntington Dr
Ste 300
Arcadia, CA 91006
Phone (626) 447-0269

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

1155 Raiders Way
Henderson, NV 89052
Phone (702) 369-7671

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Encino Hospital Medical CenterEncino, CA, CCN 05S158 Hospital Corporate Director
Other
Jan 1, 2013
Jan 1, 2013
Encino Hospital Medical CenterEncino, CA, CCN 05T158 Hospital Corporate Director Jan 1, 2013

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1780626697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660640",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660640",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5170",
            "fax_number": "818-705-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSPAN",
        "first_name": "JASON",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A70847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A708470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.