Active NPI
Jamaica Alicia Gendel, PA-C
- Physician Assistant
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 201 S Lasky Dr
Beverly Hills, CA 90212-3610 - Phone
- (310) 424-2000
- NPI assigned
- Nov 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
201 S Lasky Dr
Beverly Hills, CA 90212-3610
Mailing address
133 S Doheny Dr Apt 305
Los Angeles, CA 90048-2941
Phone (408) 439-3282
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
- Group practices
Practice addresses (Care Compare)
19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040
20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901
23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
2944 Tapo Canyon Rd
Suite a
Simi Valley, CA 93063-0903
Phone (805) 306-5990
620 E Janss Rd
Thousand Oaks, CA 91360-5113
Phone (805) 495-6866
6440 Platt Ave
West Hills, CA 91307-3216
Phone (818) 946-1103
701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400
806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60554 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skinpeccable Inc. | Current | Accepting new patients | |
| Brentview Medical Inc. | Current | Accepting new patients | |
| BVM Therapy Inc. | Past | Accepting new patients | |
| Carbon Health Medical Group of California PC | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Locations
11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013
11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1447581350
-
- Urgent Care Clinic/Center
- West Hollywood, CA
- NPI 1326631177
-
- Clinic/Center
- Los Angeles, CA
- NPI 1194058578
-
- Physical Therapy Clinic/Center
- Los Angeles, CA
- NPI 1912368358
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1114683422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 S DOHENY DR APT 305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900482941",
"telephone_number": "408-439-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S LASKY DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123610",
"telephone_number": "310-424-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENDEL",
"first_name": "JAMAICA",
"middle_name": "ALICIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Dael Ron Geft, M.D.
- Goldie Geisinsky
- Anthony Gelfen, PHARM D
- Geme Medical, Inc., a Professional Corporation
- Geme Ultrasound, Inc., a Professional Corproation
- Gene K Lee Medical Corporation
- Generational Health LLLP
- Melissa Gentry, PSYD, CCHT
- George DH Loo MD Inc
- George Gershman, M.D., a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.