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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JASON EDWARD GROOMER, D.O

Active Sole Proprietor

DR. JASON EDWARD GROOMER, D.O is a Family Medicine healthcare provider located in NORTHRIDGE, California. NPI 1619986965 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NORTHRIDGE, CA

Registration Details

NPI Number
1619986965
Provider Type
Individual
Gender
Male
NPI Issued
Aug 5, 2006 (20.028885459783 yrs)
Last Updated
Jan 13, 2023
Licenses
20A8134 (CA)
20A8134 (CA)
Sole Proprietor
Yes

Practice Information

Address
18531 ROSCOE BLVD STE 215
NORTHRIDGE, CA, 913245975
Browse CA providers · Browse ZIP 91324
Phone
8187000411
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in NORTHRIDGE, CA

Name Credential NPI
DR. TERENCE THOMPSON M.D. 1497746663
FAUSTO SANTIAGO CORDERO MD 1124052477
PHILIP S SHORE MD 1295750529
DR. DIANA ALEXIS LEV M.D. 1932129186
CESAR AUGUSTO VEGA M.D. 1093736548
PAMELA MARIE DAVIS MD 1386652196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.