DR. JEROME SAMUEL LITVINOFF (NPI# 1497717292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497717292 |
| Entity Type | Individual |
| Full Name | DR. JEROME SAMUEL LITVINOFF |
| Credential | MD |
| Practice Address |
6536 Crystalaire Dr San Diego CA 92120-3902 |
| Practice Telephone | 6195831200 |
| Practice Fax Number | 6195838903 |
| Mailing Telephone | 6195831200 |
| Mailing Fax Number | 6195838903 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2013-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | G20193 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G201930 | 05 |
| Street Address |
6536 CRYSTALAIRE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821319187 | Jerome S Litvinoff Md A Medical Corporation | Neurological Surgery | 6536 Crystalaire Dr, San Diego, CA 92120-3902 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093205312 | Vikram Udani Md Inc | Neurological Surgery | 3590 Camino Del Rio N Ste 200, San Diego, CA 92108-1707 | 2018-05-11 |
| 1639428238 | Victor Lo | Neurological Surgery | 5251 Viewridge Ct, San Diego, CA 92123 | 2012-08-29 |
| 1902176399 | Robert Francis Andrews | Neurological Surgery | 2156 Guy St, San Diego, CA 92103-1537 | 2012-01-03 |
| 1336399567 | Lance L. Altenau | Neurological Surgery | 3525 Del Mar Heights Rd # 355, San Diego, CA 92130-2122 | 2008-09-24 |
| 1316141898 | Ganna L Breland | Neurological Surgery | 10350 Barnes Canyon Rd Ste 200, San Diego, CA 92121-2709 | 2007-06-11 |
| 1508912031 | Jonathon Cooke | Neurological Surgery | 6540 Reflection Dr, San Diego, CA 92124-5119 | 2007-01-26 |
| 1396899837 | San Diego Neurosurgery and Spine Institute | Neurological Surgery | 7930 Frost St Ste 304, San Diego, CA 92123-2740 | 2007-01-22 |
| 1083792220 | Rex L Rhoten | Neurological Surgery | 4510 Executive Dr Ste 125, San Diego, CA 92121-3054 | 2006-11-02 |
| 1881709673 | Neurosurgical Medical Clinic, Inc | Neurological Surgery | 3750 Convoy St Ste 301, San Diego, CA 92111-3741 | 2006-08-20 |
| 1144333436 | Lance L Altenau | Neurological Surgery | 2100 5th Ave, Ste 200, San Diego, CA 92101-2102 | 2006-08-17 |
| Find all providers in SAN DIEGO | ||||
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| 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.