Active NPI
Rachel Jumonville, PA-C, MMS
- Physician Assistant
- Beverly Hills, CA
National Provider Identifier
1053084004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA59835
- Practice address
- 9301 Wilshire Blvd Ste 405a
Beverly Hills, CA 90210-6139 - Phone
- (310) 299-8959
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59835 | CA | Primary |
Addresses
Primary practice location
9301 Wilshire Blvd Ste 405a
Beverly Hills, CA 90210-6139
Mailing address
1 Rue Toulouse
Baton Rouge, LA 70808-4681
Phone (337) 278-8729
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 Pine Ave
Suite 1030
Long Beach, CA 90802-2366
Phone (310) 360-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA59835 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephens Medical Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Altitude Wellness
- Psychiatry Physician
- Long Beach, CA
- NPI 1235839002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1053084004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RUE TOULOUSE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084681",
"telephone_number": "337-278-8729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WILSHIRE BLVD STE 405A",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902106139",
"telephone_number": "310-299-8959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMONVILLE",
"first_name": "RACHEL",
"credential": "PA-C, MMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA59835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.