Jan Mathias Eckermann, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A96203 Issued in CA

Practice address

1700 Mt. Vernon Ave.
Room 2562-B
Bakersfield, CA 93306-4018

Phone

(661) 872-3311

Fax

(661) 872-3366

NPI assigned

May 16, 2007

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Neurosurgery

Education

Loma Linda University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kern Neurosurgical Institute IncGroup PAC ID 7517197510, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kern Neurosurgical Institute, Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1659792158
  Medicare reassignment Care Compare group
• Healing Arts Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
  • NPI 1639375108
  Medicare reassignment NPD
• Regents of the University of California

  dba Neurosurgical Associates of Irvine

  • Neurological Surgery Physician
  • Orange, CA
  • NPI 1659329746
  Medicare reassignment NPD
• Bayside Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1033803606
  NPD Authorized official
• Lakeview Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
  • NPI 1679326177
  NPD Authorized official
• Ludwig Medical Corp

  • Durable Medical Equipment & Medical Supplies
  • Newport Beach, CA
  • NPI 1467097832
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• San Joaquin Community Hospital

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1538157508
  Care Compare affiliation

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1962619668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH ST",
            "address_2": "STE 407",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013454",
            "telephone_number": "661-843-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MT. VERNON AVE.",
            "address_2": "ROOM 2562-B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064018",
            "telephone_number": "661-872-3311",
            "fax_number": "661-872-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Bayside Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926251754",
            "country_code": "US",
            "telephone_number": "661-843-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKERMANN",
        "first_name": "JAN",
        "middle_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A96203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Priscilla Eddington, CATC
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• Jessica Renee Eddlemon, JESSICA
• Katie Edge, FNP
• Edison School District

• Neurological Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.

Verify at the official NPI Registry.