Individual provider Active NPI

Jeffrey Fredrick Caren, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1013089069
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G22674 Issued in CA
Practice address
8635 W 3Rd St
890W
Los Angeles, CA 90048-6101
Phone
(310) 659-0714
Fax
(310) 659-0664
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G22674 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
890W
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St
890W
Los Angeles, CA 90048-6101
Phone (310) 659-0714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000127 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - General PracticePractitioner - Internal Medicine 4688705908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
84.4
Promoting interoperability
100
Improvement activities
40
Cost
66.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Medical Group, Inc Specialist CurrentSince Jul 1, 1994 Accepting new patients

Locations

8635 W 3rd St
Ste 890W
Los Angeles, CA 90048
Phone (310) 659-0714

8635 W 3rd St
Ste 890
West Hollywood, CA 90048
Phone (213) 422-3843

Interoperability endpoints

  • Direct secure messaging: jcaren102429@direct.cshs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1013089069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "890W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-659-0714",
            "fax_number": "310-659-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "890W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-659-0714",
            "fax_number": "310-659-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREN",
        "first_name": "JEFFREY",
        "middle_name": "FREDRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G22674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.