NPIMap

Individual provider Active NPI

Jessica Marie Adkins, M.D.

  • Internal Medicine Physician
  • Ventura, CA
National Provider Identifier
1194968362
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A106736 Issued in CA
Practice address
147 N Brent St
Ventura, CA 93003-2809
Phone
(805) 652-5652
Fax
(805) 648-5982
NPI assigned
Apr 16, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A106736 CA
Internal Medicine Physician 207R00000X A106736 CA Primary

Addresses

Primary practice location

147 N Brent St
Ventura, CA 93003-2809

Mailing address

5855 Olivas Park Dr
Ventura, CA 93003-7672
Phone (805) 667-2801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120524000589 CA Practitioner - Internal MedicinePractitioner - Hospitalist 2961665187 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allure Medical Group a Professional CorporationGroup PAC ID 7012299605, 6 clinicians

Practice addresses (Care Compare)

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (866) 545-2570

558 Saint Charles Dr
Suite 110
Thousand Oaks, CA 91360-3967
Phone (805) 506-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106736CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allure Medical Group a Professional Corporation Hospitalist CurrentSince Jul 5, 2017 Accepting new patients
Jaspreet Somal M.D., a.P.C. CurrentSince Jul 15, 2023 Accepting new patients
Jessica Marie Adkins MD PC Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Andre Yousefia, M.D., Inc. CurrentSince Jul 30, 2018 Accepting new patients
Life Medical Practitioners Internal Medicine CurrentSince Jul 9, 2023 Accepting new patients

Locations

501 S Reino Rd
Ste 200
Newbury Park, CA 91320

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

227 W Janss Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 230-2333

558 Saint Charles Dr
Ste 110
Thousand Oaks, CA 91360
Phone (805) 449-8781

77 Rolling Oaks Dr
Ste 305
Thousand Oaks, CA 91361
Phone (805) 379-9976

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCFDCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perpetual Care Hospice IncSimi Valley, CA, CCN A01507 Hospice Contracted Managing Employee May 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 4

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194968362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 OLIVAS PARK DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037672",
            "telephone_number": "805-667-2801",
            "fax_number": "805-667-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-652-5652",
            "fax_number": "805-648-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A106736",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.