Active NPI
Jennifer Kaur Rodriguez Sohal, M.D.
- Orthopaedic Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A109393
- 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, 2011
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 241425 | NY | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Kaur Rodriguez Sohal MD Inc | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Los Angeles, CA
- NPI 1972811123
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
dba Norton Children's Hospital
- Children's Hospital
- Louisville, KY
- NPI 1982609442
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": []
}
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- Soheil Mehdizadeh Chiropractic Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.