Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jaime Benjamin Moran Jr., MD

Individual provider Emergency Medicine Physician · NPI 1790125284

Dr. Jaime Benjamin Moran Jr., MD is an Emergency Medicine in Glendale, California. Graduated from University of Southern California Keck School of Medicine in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone: (818) 790-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Clarkson Ave, Brooklyn, NY 11203-2012 — (718) 245-3318

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A148504 (CA)

Record details

NPI number1790125284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2013
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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