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JACOB BERUMEN NP
NPI 1932707114
Nurse Practitioner - Adult Health in Santa Monica, CA

Active since October 11, 2020PECOS Enrolled
1260 15TH ST STE 1502, SANTA MONICA, CA 90404(310) 656-1702 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2023, Jul 8, 2021, Oct 11, 2020 (3 updates tracked since 2020).

About Jacob Berumen Np NPPES

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

JACOB BERUMEN NP (NPI 1932707114) is an individual adult health provider in Santa Monica, California, licensed in California (95015306) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932707114
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameJACOB BERUMENCredential: NP
Location Address1260 15TH ST STE 1502Santa Monica, CA 90404-1135
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 656-1702
Sole ProprietorYes
Enumeration DateOctober 11, 2020
Last NPPES UpdateApril 20, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1932707114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95015306
1260 15TH ST STE 1502, Santa Monica, CA 90404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Berumen Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jacob Berumen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Regents Of The University Of California
4.0 mi
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
NPI 1235107566 (310) 794-1276

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 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 3

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

JULIA LEE M.D.
Internal Medicine
1260 15TH ST STE 1502
SANTA MONICA, CA 90404
Los Angeles County (310) 656-1701
MR. ANTHONY ODION OZIGHO NP
Nurse Practitioner (Primary Care)
1260 15TH ST STE 1502
SANTA MONICA, CA 90404
Los Angeles County (310) 656-1702
ASHISH SHASHI GOVAN MD
Internal Medicine
1260 15TH ST STE 1502
SANTA MONICA, CA 90404
Los Angeles County (310) 656-1702

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 Jacob Berumen's NPI number?

The NPI number for Jacob Berumen is 1932707114. It was assigned to this individual provider in the NPPES registry on October 11, 2020.

Where is Jacob Berumen located?

Jacob Berumen practices at 1260 15th St Ste 1502, Santa Monica, CA 90404. The listed phone number is (310) 656-1702.

What is Jacob Berumen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacob Berumen enrolled in Medicare?

Yes. Jacob Berumen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Berumen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Berumen reassigns Medicare benefits to The Regents Of The University Of California (Los Angeles, CA). The 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 Jacob Berumen'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 Jacob Berumen was last updated on April 20, 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.