DR. JASON EDWARD GROOMER D.O
NPI 1619986965
Family Medicine in Northridge, CA

Q: What is Jason Groomer's NPI number?

The NPI number for Jason Groomer is 1619986965. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Q: What is Jason Groomer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Groomer was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment

18531 ROSCOE BLVD STE 215, NORTHRIDGE, CA 91324(818) 700-0411 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jason Edward Groomer D.o NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JASON EDWARD GROOMER D.O (NPI 1619986965) is an individual family medicine provider in Northridge, California, licensed in California (20A8134) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1619986965

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JASON EDWARD GROOMERCredential: D.O

Location Address18531 ROSCOE BLVD STE 215Northridge, CA 91324-5975

Mailing Address6520 Platt Avenue, # 827West Hills, CA 91307 · (818) 825-7174 · Fax (818) 579-9233

Phone(818) 700-0411

Sole ProprietorYes

Medical School CMSOtherGraduated 1997

Enumeration DateAugust 5, 2006

Last NPPES UpdateJanuary 13, 2023

NPPES CertifiedJanuary 13, 2023

✔ NPI 1619986965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A8134

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 20A8134 (CA)

18531 ROSCOE BLVD STE 215, Northridge, CA 91324

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Secondary Practice Locations 2

Location 15530 Corbin Avenue, Suite 100Tarzana, CA 91356 · Phone (818) 705-1333 · Fax (818) 344-3191

Location 21101 N Pacific Ave Ste 104Glendale, CA 91202-4313 · Phone (818) 700-0411

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jason Edward Groomer D.o is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729067582

PECOS Enrollment IDI20040715000649

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jason Groomer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Total Health Care Network Inc

Same address

Family Medicine

18531 ROSCOE BLVD STE 215
Northridge, CA 91324

Reassigned Medicare billing, California enrollment
3 clinicians in this Medicare group

NPI 1003284597 (818) 700-0411

Valley Village Health Clinic PC

8.6 mi

Internal Medicine

12626 RIVERSIDE DR STE 301
Valley Village, CA 91607

Reassigned Medicare billing, California enrollment
7 clinicians in this Medicare group

NPI 1881330603 (818) 452-9266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

100 services31 patients

Online digital evaluation and management service provided by nonphysician professional for up to 7 days, total time 11-20 minutes 98971

This service involves a nonphysician professional assessing your health status through digital means over a period of 7 days. The total engagement time ranges from 11-20 minutes. It's a convenient way to monitor and manage your health remotely.

48 services18 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

22 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL HEALTH CARE NETWORK INC

Family Medicine

18531 ROSCOE BLVD STE 215
NORTHRIDGE, CA 91324

Los Angeles County (818) 700-0411

CLAUDINE FERNANDEZ YEE-CALVO PT

Physical Therapist (Orthopedic)

18531 ROSCOE BLVD STE 215
NORTHRIDGE, CA 91324

Los Angeles County (818) 700-0478

TEODIK GRIGORIAN

Internal Medicine (Clinical Cardiac Electrophysiology)

18531 ROSCOE BLVD STE 215
NORTHRIDGE, CA 91324

Los Angeles County (818) 775-5744

TEODIK GRIGORIAN DO INC

Internal Medicine (Clinical Cardiac Electrophysiology)

18531 ROSCOE BLVD STE 215
NORTHRIDGE, CA 91324

Los Angeles County (818) 775-5744

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Groomer's NPI number?

The NPI number for Jason Groomer is 1619986965. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Jason Groomer located?

Jason Groomer practices at 18531 Roscoe Blvd Ste 215, Northridge, CA 91324. The listed phone number is (818) 700-0411.

What is Jason Groomer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jason Groomer enrolled in Medicare?

Yes. Jason Groomer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jason Groomer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Groomer reassigns Medicare benefits to 2 organizations: Total Health Care Network Inc (Northridge, CA) and Valley Village Health Clinic PC (Valley Village, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Groomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Groomer was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.