Individual provider Active NPI

Caroline Haven Humphreys

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1013449065
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A160956 Issued in CA
Practice address
757 Westwood PLZ
Emergency Medicine
Los Angeles, CA 90095-7419
Phone
(310) 794-0785
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A160956 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Emergency Medicine
Los Angeles, CA 90095-7419

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

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
I20210422001708 CA Practitioner - Emergency Medicine 0345658860 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California SFGH Medical GroupGroup PAC ID 5496668410, 566 clinicians
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone (628) 206-5753

13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320
  • Alameda Hospital Hospital, Alameda, CA, CCN 050211
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160956CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Current Accepting new patients
Alameda Health System CurrentSince Jul 18, 2022 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
County of Santa Clara CurrentSince Aug 20, 2021 Accepting new patients
County of Los Angeles Current Accepting new patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 2, 2024 Accepting new patients
County of Santa Clara CurrentSince Aug 20, 2021 Accepting new patients
Alameda Health System CurrentSince Jul 18, 2022 Accepting new patients
Alameda Health System Current Accepting new patients
University of California SFGH Medical Group Emergency Medicine CurrentSince Jul 2, 2024 Accepting new patients
County of Los Angeles CurrentSince Apr 2, 2021 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Apr 2, 2021 Accepting new patients
City and County of San Francisco CurrentSince Jul 23, 2024 Accepting new patients
County of Santa Clara Emergency Medicine Current Accepting new patients
City & County of San Francisco CurrentSince Jul 23, 2024 Accepting new patients
Alameda Health System Past Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Interoperability endpoints

  • Direct secure messaging: chumphreys176697@santaclaravalley.direct-ci.net
  • Direct secure messaging: chumphreys94786@alamedahs.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1013449065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "EMERGENCY MEDICINE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-794-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREYS",
        "first_name": "CAROLINE",
        "middle_name": "HAVEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A160956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.