Individual provider Active NPI

Jeffrey S. Jumaily, M.D.

  • Facial Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1992026215
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A147007 Issued in CA
Practice address
8816 Burton Way
Beverly Hills, CA 90211-1715
Phone
(310) 285-9612
NPI assigned
Jun 21, 2010
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A147007 CA Primary

Addresses

Primary practice location

8816 Burton Way
Beverly Hills, CA 90211-1715

Mailing address

8816 Burton Way
Beverly Hills, CA 90211-1715
Phone (310) 285-9612

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170801001986 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3678705357 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147007CAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Jul 29, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jul 29, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation CurrentSince Sep 15, 2020 Accepting new patients
Robert O Ruder M D a Professional Corporation Facial Plastic Surgery PastSince Jun 14, 2017 Accepting new patients
Employee Medical Consultants PC Past Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients

Locations

1577 E Chevy Chase Dr
Ste 330
Glendale, CA 91206
Phone (818) 553-8013

14650 Aviation Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 725-8505

14650 Aviation Blvd
Ste 200
Hawthorne, CA 90250
Phone (310) 539-2300

3268 E Gage Ave
Huntington Pk, CA 90255
Phone (323) 238-3324

1245 Wilshire Blvd
Ste 603
Los Angeles, CA 90017
Phone (213) 977-1215

1300 N Vermont Ave
Ste 605
Los Angeles, CA 90027
Phone (213) 662-8194

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1700 E Cesar E Chavez Ave
Ste 2500
Los Angeles, CA 90033
Phone (323) 268-6731

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

433 N 4th St
Ste 212
Montebello, CA 90640
Phone (323) 238-3324

41250 12th St W
Ste C
Palmdale, CA 93551
Phone (323) 328-8059

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1992026215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8816 BURTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111715",
            "telephone_number": "310-285-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8816 BURTON WAY",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111715",
            "telephone_number": "310-285-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUMAILY",
        "first_name": "JEFFREY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A147007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.