Individual provider Active NPI

Jennifer Kaltenthaler

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1134880826
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017063 Issued in CA
Practice address
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone
(323) 660-2450
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017063 CA Primary

Addresses

Primary practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Mailing address

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 660-2450

Other names 1

  • Jennifer Devera Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003302 CA Practitioner - Nurse Practitioner 1759739352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017063CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC CurrentSince Jan 10, 2024 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Oct 13, 2023 Accepting new patients

Locations

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

1220 Huntington Dr
Duarte, CA 91010
Phone (626) 301-0330

9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481

638 E Colorado Ave
Glendora, CA 91740
Phone (626) 331-0781

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

2415 S Western Ave
#1182
Los Angeles, CA 90018

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

7039 Alondra Blvd
Paramount, CA 90723
Phone (562) 531-0990

9333 La Mesa Dr
Rancho Cucamonga, CA 91701
Phone (909) 308-1102

3688 Nye Ave
Riverside, CA 92505
Phone (951) 351-2800

5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993

1221 E Arrow Hwy
Upland, CA 91786
Phone (909) 958-1903

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1134880826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-660-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-660-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTENTHALER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DEVERA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.