Theodore James Jekums, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G23626 Issued in CA

Practice address

1801 W Romneya Dr
404
Anaheim, CA 92801-1830

Phone

(714) 535-4747

Fax

(714) 535-4054

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anaheim Global Medical Center, Inc

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1790778488
  NPD (past)
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1982666152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-535-4747",
            "fax_number": "714-535-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "404",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-535-4747",
            "fax_number": "714-535-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEKUMS",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G23626",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G23626",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G236261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeevan and Neela Ghatnekar DDS Inc
• Jeff Zwoyer DMD
• Badi D. Jeffers, DO
• Joanna Jefferson, DDS
• Tamia Martia Jefferson
• Mitchell Frank Jelen Jr.
• Dorothy Lawanda Jenkins
• Mary Jenkins
• Ana Jensen
• Jacob R. Jensen, DPM

• Surgery Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.