Individual provider Active NPI

Jeffrey Demian, DPM

  • Foot & Ankle Surgery Podiatrist
  • Torrance, CA
National Provider Identifier
1922477280
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
EL6741 Issued in CA
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.

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 27 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1031
Removal or shaving of skin growth668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
EL6741CAMDFoot & Ankle Surgery Podiatrist
5385CAMDSpeech-Language Assistant

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Jeffrey Demian Inc Foot & Ankle Surgery CurrentSince Nov 17, 2017 Accepting new patients
Ravindra Gautam, M.D., Inc. CurrentSince Jun 1, 2020 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

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

{
    "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

Verify at the official NPI Registry.