Individual provider Active NPI

Jennifer Kaur Rodriguez Sohal, M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1063616712
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A109393 Issued in CA
Practice address
2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282
Phone
(213) 484-8431
Fax
(213) 484-0780
NPI assigned
Jun 14, 2007
Last updated
Oct 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 241425 NY
Orthopaedic Surgery Physician 207X00000X 42445 KY
Orthopaedic Surgery Physician 207X00000X A109393 CA Primary
Orthopaedic Surgery of the Spine Physician 207XS0117X 42445 KY
Orthopaedic Surgery of the Spine Physician 207XS0117X A109393 CA

Addresses

Primary practice location

2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282

Mailing address

2105 Beverly Blvd Ste 227
Los Angeles, CA 90057-2282
Phone (213) 484-8431

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
I20110201000293 CA Practitioner - Orthopedic Surgery 3678629920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2105 Beverly Blvd
Suite 227
Los Angeles, CA 90057-2282
Phone (213) 484-8431

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241425NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Kaur Rodriguez Sohal MD Inc Orthopaedic Surgery CurrentSince Sep 14, 2010 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Norton Hospitals, Inc Past Accepting new patients

Locations

2105 Beverly Blvd
Ste 227
Los Angeles, CA 90057
Phone (213) 484-8186

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317427200000",
    "number": "1063616712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572282",
            "telephone_number": "213-484-8431",
            "fax_number": "213-484-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BEVERLY BLVD STE 227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572282",
            "telephone_number": "213-484-8431",
            "fax_number": "213-484-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAL",
        "first_name": "JENNIFER KAUR",
        "middle_name": "RODRIGUEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "241425",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "42445",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A109393",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "KY",
            "license": "42445",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A109393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.