JACOB BINGHAM


Address: 1225 15th St Ste 2100, Santa Monica, CA 90404-1101
Phone: 3103193475

JACOB BINGHAM (NPI# 1144609314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144609314
Entity Type Individual
Full Name JACOB BINGHAM
Credential MD
Practice Address 1225 15th St Ste 2100
Santa Monica
CA 90404-1101
Mailing Address 5767 W Century Blvd Ste 400
Los Angeles
CA 90045-5631
Practice Telephone 3103193475
Enumeration Date 2015-05-21
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
A168110 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program MT208785 PA Student, Health Care

Office Location

Street Address 1225 15TH ST STE 2100
City SANTA MONICA
State CA
Zip Code 90404-1101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417392689 Andrew Robert Jensen Orthopaedic Surgery 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 2013-05-01
1356977326 Daniel Chiou Student in an Organized Health Care Education/Training Program 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 2020-03-20
1225557903 Fang Jiang Physician Assistant 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 2017-09-14
1184011058 Ardavan Ariel Saadat Orthopaedic Surgery 1225 15th St Ste 2100, Santa Monica, CA 90404-1101 2015-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306453352 Jasmine Burton Physical Therapist 1714 17th Street, Santa Monica, CA 90404 2020-09-24
1003431685 Cintia Haydee Ctibor Behavior Technician 1869 9th Street, Santa Monica, CA 90404 2020-06-10
1073137261 Sydney Kristine Valerio Counselor 1869 9th St, Santa Monica, CA 90404 2020-06-03
1710507082 James Gilbert Cunningham Marriage & Family Therapist 1708 Olympic Blvd, Santa Monica, CA 90404 2020-04-16
1841763687 Crystal Monique Mckinley X Counselor 1865 9th St, Santa Monica, CA 90404 2019-01-04
1952872749 Cesar O Munoz Licensed Vocational Nurse 1865 9th St., Santa Monica, CA 90404 2018-12-06
1023596574 Joseph J Pinzone Md Inc Internal Medicine 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 2018-08-06
1548763535 Alan Rubenstein Dds Inc Dentist 1260 15th St., #703, Santa Monica, CA 90404 2018-03-15
1669993382 Aaron Wilson Counselor 1453 16th Street, Santa Monica, CA 90404 2017-07-03
1922472471 Chianni Lin Acupuncturist 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 2015-11-20
Find all providers in zip 90404

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053473173 Santa Monica Orthopaedic Group Orthopaedic Surgery 1301 20th St, 150, Santa Monica, CA 90404-2050 2006-12-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790341618 Casey S Revenko Orthopaedic Surgery 2999 Regent St Ste 225, Berkeley, CA 94705-2117 2019-05-15
1225504301 Amgad Alfred Orthopaedic Surgery 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 2018-10-16
1386136430 Valley River Orthopedics and Sports Medicine Orthopaedic Surgery Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 2018-06-05
1073026696 Optimal Physician Surgical Group Orthopaedic Surgery 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 2017-11-06
1336669456 Beach Cities Orthopedics Surgery Center, LLC Orthopaedic Surgery 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 2017-06-20
1750818860 Health Link Medical Group Inc Orthopaedic Surgery 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 2017-05-19
1962861476 Mehta Orthopedics Orthopaedic Surgery 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 2016-02-12
1649646282 Bay Area Surgical Specialists, Inc. A Medical Corporation Orthopaedic Surgery 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 2015-08-18
1114346111 Sean Robinson Orthopaedic Surgery 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 2014-04-08
1851717938 William R Campbell Do Prof Corp Orthopaedic Surgery 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 2014-03-12
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Competitor

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City SANTA MONICA
Zip Code 90404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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