Individual provider Active NPI

Jossalyn T Emslie, M.D.

  • Family Medicine Physician
  • Sierra Madre, CA
National Provider Identifier
1013913508
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A061668 Issued in CA
Practice address
147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492
Phone
(626) 355-3443
Fax
(626) 355-7843
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A061668 CA Primary

Addresses

Primary practice location

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492

Mailing address

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2492
Phone (626) 355-3443

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
I20100204000311 CA Practitioner - Family Practice 6507909181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Madre Community Medical Group IncGroup PAC ID 8729049663, 5 clinicians

Practice addresses (Care Compare)

147 W Sierra Madre Blvd
Sierra Madre, CA 91024-2460
Phone (626) 355-3443

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A061668CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Madre Community Medical Group, Inc CurrentSince Jul 24, 2010 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

147 W Sierra Madre Blvd
Sierra Madre, CA 91024
Phone (626) 355-0960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jossalyn.emslie.p19@direct.healthcarepartners.nextgenshare.com

Organizations & group practices 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1013913508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242492",
            "telephone_number": "626-355-3443",
            "fax_number": "626-355-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W SIERRA MADRE BLVD",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242492",
            "telephone_number": "626-355-3443",
            "fax_number": "626-355-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMSLIE",
        "first_name": "JOSSALYN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A061668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

Verify at the official NPI Registry.