Individual provider Active NPI

Jenifer P. Aaronson, M.D.

  • Family Medicine Physician
  • Kamuela, HI
National Provider Identifier
1053607119
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A128241 Issued in CA
Practice address
64-1032 Mamalahoa Hwy Ste 306
Kamuela, HI 96743-8441
Phone
(808) 769-5010
NPI assigned
Jun 27, 2011
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R72495 AZ
Family Medicine Physician 207Q00000X 18078 HI
Family Medicine Physician 207Q00000X A128241 CA Primary

Addresses

Primary practice location

64-1032 Mamalahoa Hwy Ste 306
Kamuela, HI 96743-8441

Mailing address

64-1032 Mamalahoa Hwy Ste 306
Kamuela, HI 96743-8441

Other practice location 1

2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone (562) 346-2222

Other identifiers 1

IdentifierTypeStateIssuer
R72495OtherAZTRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141124002527 CA Practitioner - Family Practice 5799007985 Reassigns benefits to 2 organizations
I20221129002315 HI Practitioner - Family Practice 5799007985 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R72495AZMDFamily Medicine Physician
A128241CAMDFamily Medicine Physician
18078HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Nov 1, 2025 Accepting new patients
Memorialcare Medical Foundation Family Medicine CurrentSince Oct 30, 2014 Accepting new patients
Duerler, Inc. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

64-1032 Mamalahoa Hwy
Ste 306
Kamuela, HI 96743
Phone (808) 769-5010

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1053607119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY STE 306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 MAMALAHOA HWY STE 306",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438441",
            "telephone_number": "808-769-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 N Bellflower Blvd",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153126",
            "country_code": "US",
            "telephone_number": "562-346-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AARONSON",
        "first_name": "JENIFER",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "R72495",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "18078",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R72495",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.