Individual provider Active NPI

Jeremy Samuel Paige, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1891180014
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
169041 Issued in CA
Practice address
757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-8358
Phone
(310) 267-8796
NPI assigned
Apr 3, 2015
Last updated
Jun 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 169041 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-8358

Mailing address

757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-8358
Phone (310) 267-8796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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
I20200622002055 CA Practitioner - Diagnostic Radiology 8628367463 Reassigns benefits to 2 organizations
I20210629003480 WA Practitioner - Diagnostic Radiology 8628367463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Scanning Consultants PAGroup PAC ID 9032005376, 82 clinicians

Practice addresses (Care Compare)

1310 116TH Ave NE
Suite E
Bellevue, WA 98004-3817
Phone (425) 637-9729

1810 116TH Ave NE
Suite 101
Bellevue, WA 98004-3058
Phone (425) 974-1044

20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099
Phone (360) 598-3141

33801 1St Way S
Federal Way, WA 98003-6219

463 Tremont St W
Suite 130
Port Orchard, WA 98366-3743
Phone (360) 876-3141

7308 Bridgeport Way W
Suite 101
Lakewood, WA 98499-8000
Phone (253) 682-1666

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
169041CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology CurrentSince Dec 23, 2025 Accepting new patients
County of Los Angeles CurrentSince Jun 15, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 14, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 14, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology Current Accepting new patients
Medical Scanning Consultants PA Diagnostic Radiology CurrentSince Jul 12, 2021 Accepting new patients
County of Los Angeles CurrentSince Jun 15, 2020 Accepting new patients
Radiology Consultants of Washington, Inc., P.S. Diagnostic Radiology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8790

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338

1310 116th Ave NE
Ste E
Bellevue, WA 98004
Phone (425) 250-1145

3131 Nassau St
#102
Everett, WA 98201
Phone (425) 740-5000

33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226

7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666

Organizations & group practices 10

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1891180014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1638",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-267-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1638",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-267-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "JEREMY",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "169041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.