DR. JEREMY MATTHEW BLUMBERG M.D. NPI 1982889622

NPI Information

  • NPI: 1982889622
  • Provider Name: DR. JEREMY MATTHEW BLUMBERG, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 UCLA MEDICAL PLZ STE 140
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 794-7152

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NPI Details

DR. Jeremy Matthew Blumberg, M.D. is an urology in Los Angeles, CA with 21 years of experience. The provider is 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. DR. Jeremy Matthew Blumberg, M.D. NPI is 1982889622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

200 UCLA MEDICAL PLZ STE 140
LOS ANGELES, CA
ZIP 90095-344
Phone: (310) 794-7152
Fax: (310) 794-1666

The NPI 1982889622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of kidney from living donor using an endoscope (HCPCS:50547)

The enumeration date for this NPI number is 12/31/2007 and was last updated on 1/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204F00000XTransplant SurgeryA100479CALIFORNIANo
2208800000XUrologyA100479CALIFORNIAYes
32080T0004XPediatricsPediatric Transplant HepatologyA100479CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11982889622MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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