MEDICARE: DR. JERROLD MARTIN SHERMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A22124	CA
2	207X00000X	Orthopaedic Surgery Physician	7455	NV

General Provider Information

NPI Number	:	1487663498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERROLD MARTIN SHERMAN MD

Provider Business Mailing Address
First Line	:	2801 OCEAN PARK BLVD
Second Line	:	PMB #162
City	:	SANTA MONICA
State	:	CA
Zip	:	90405
Country	:	US
Telephone Number	:	310-393-9829
Fax Number	:	310-476-8438

Provider Business Practice Location Address
First Line	:	2001 SANTA MONICA BLVD #1190W
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404
Country	:	US
Telephone Number	:	310-393-9829
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	03/22/2026

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