Active NPI
Jeffrey Demian, DPM
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
National Provider Identifier
1922477280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- EL6741
- Practice address
- 22633 Anza Ave
Torrance, CA 90505-3418 - Phone
- (760) 256-1004
- NPI assigned
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Torrance, CA
- NPI 1306339759
CA, Foot & Ankle Surgery
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jeffrey Demian Inc
Practice addresses (Care Compare)
1177 W Aster St
Upland, CA 91786-2280
Phone (909) 949-6291
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1031 |
| Removal or shaving of skin growth | 668 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171219000457 | CA | Practitioner - Podiatry | 8820356900 | Reassigns benefits to 2 organizations |
| I20260408003043 | CO | Practitioner - Podiatry | 8820356900 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EL6741 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5385 | CA | MD | Speech-Language Assistant |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Demian Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Ravindra Gautam, M.D., Inc. | Current | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Locations
930 W Main St
Barstow, CA 92311
Phone 7602561004306
17215 Studebaker Rd
Ste 108
Cerritos, CA 90703
Phone (310) 750-4511
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EL6741 | CA | Primary |
Addresses
Primary practice location
22633 Anza Ave
Torrance, CA 90505-3418
Mailing address
22633 Anza Ave
Torrance, CA 90505-3418
Phone (310) 978-7579
Other practice location 1
930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004
NPI Registry JSON
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592265600000",
"number": "1922477280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22633 ANZA AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053418",
"telephone_number": "310-978-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22633 ANZA AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053418",
"telephone_number": "760-256-1004"
}
],
"practiceLocations": [
{
"address_1": "930 W Main St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923112654",
"country_code": "US",
"telephone_number": "760-256-1004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEMIAN",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-16",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "EL6741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.