JEREMY M. BLUMBERG M.D. – NPI #1982889622
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

JEREMY BLUMBERG is an urologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1982889622 to JEREMY BLUMBERG on December 31, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Jan 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMY BLUMBERG below.

NPI Profile for
JEREMY M. BLUMBERG

NPI Number
1982889622
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEREMY M. BLUMBERG
Credentials
M.D.
Primary location
200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA 90095-8344
Phone: (310) 794-7152 Fax: (310) 794-1666
Mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JEREMY BLUMBERG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA1982889622
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
CA A100479
2080T0004X
- Pediatrics / Pediatric Transplant Hepatology
CA A100479
204F00000X
- Transplant Surgery
CA A100479

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2005
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JEREMY BLUMBERG is affiliated with the following medical group(s):
  • HOSPITAL
    • LAC/HARBOR-UCLA MED CENTER
      1000 W CARSON ST
      TORRANCE, CA 90502
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095

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