Individual provider Active NPI

Jennifer F O'Dell, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
National Provider Identifier
1144209206
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
C147262 Issued in CA
Practice address
2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone
(310) 225-3244
Fax
(310) 698-7040
NPI assigned
Jan 17, 2006
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 19486 OK
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C147262 CA Primary

Addresses

Primary practice location

2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214

Mailing address

2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244

Other identifiers 1

IdentifierTypeStateIssuer
100108070AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA2 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
I20031208000853 OK Practitioner - Pathology 3274439690 Reassigns benefits to 1 organization
I20180402002213 CA Practitioner - Pathology 3274439690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Oklahoma College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians
Lab Medicine of Greater Tulsa PCGroup PAC ID 9436117512, 12 clinicians

Practice addresses (Care Compare)

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 225-3244

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-1420

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
90.51 of 100Reported as group
Quality
76.67
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C147262CAMDAnatomic Pathology & Clinical Pathology Physician
19486OKMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Medicine of Greater Tulsa, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2024 Accepting new patients
Affiliated Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2018 Accepting new patients
Saint Francis Outreach Services LLC Current Accepting new patients
Tulsa Diagnostics PC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Tulsa Medical Laboratory, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Services, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology PastSince Jun 22, 2021 Accepting new patients
Diagnostic Pathology Services, Inc. Past Accepting new patients

Locations

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

5700 Southwyck Blvd
Toledo, OH 43614

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1144209206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 E PACIFICA PL",
            "city": "RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902206214",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 E PACIFICA PL",
            "city": "RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902206214",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "JENNIFER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OK",
            "license": "19486",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "C147262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108070A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Dominguez, CA

Sources for this page

Verify at the official NPI Registry.