Individual provider Active NPI

Jasmine Neman, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1013250919
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22876 Issued in CA
Practice address
6430 Selma Ave
Los Angeles, CA 90028-7311
Phone
(323) 848-4522
NPI assigned
Mar 29, 2013
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22876 CA Primary
Medical Physician Assistant 363AM0700X NU

Addresses

Primary practice location

6430 Selma Ave
Los Angeles, CA 90028-7311

Mailing address

6430 Selma Ave
Los Angeles, CA 90028-7311
Phone (323) 848-4522

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116001368 CA Practitioner - Physician Assistant 0446516926 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

21835 Ventura Blvd
Suite 21837
Woodland Hills, CA 91364-1838
Phone (818) 600-7348

4550 Van Nuys Blvd
Suite A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22876CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skinpeccable Inc. Current Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Dec 1, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Dec 1, 2023 Accepting new patients
Brentview Medical Inc. CurrentSince Sep 16, 2017 Accepting new patients
The Berkeley Clinic, Inc PastSince Mar 23, 2022 Accepting new patients
Hollywood Walk in Clinic Past Accepting new patients
BVM Therapy Inc. Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Apr 5, 2021 Accepting new patients

Locations

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

4550 Van Nuys Blvd
Ste A4
Sherman Oaks, CA 91403
Phone (818) 230-2938

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

620 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 495-6866

8264 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 522-2222

21835 Ventura Blvd
Ste 21837
Woodland Hills, CA 91364
Phone (818) 600-7348

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1013250919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMAN",
        "first_name": "JASMINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22876",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.