Active NPI
Caroline Haven Humphreys
- Emergency Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A160956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Alameda Hospital
- Zuckerberg San Francisco General Hosp & Trauma Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A160956 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| County of Santa Clara | Current | 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 | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| University of California SFGH Medical Group | Emergency Medicine | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| City and County of San Francisco | Current | Accepting new patients | |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| City & County of San Francisco | Current | 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
- chumphreys176697@santaclaravalley.direct-ci.net
- 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.
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- Anesthesiology Physician
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- NPI 1366417420
-
- Clinical Medical Laboratory
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- NPI 1982737524
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1558749440
-
- Community Health/Public Health Clinical Nurse Specialist
- San Francisco, CA
- NPI 1609041060
-
- Methadone Clinic
- San Francisco, CA
- NPI 1578787925
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
- Clinic/Center
- San Jose, CA
- NPI 1154906634
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Alameda, CA
- NPI 1831529049
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1083648810
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1164609962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.