Individual provider Active NPI

Kristofer Jason Jones

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Los Angeles, CA
National Provider Identifier
1205093895
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A126262 Issued in CA
Practice address
10833 Le Conte Ave
76-143 CHS
Los Angeles, CA 90095-6902
Phone
(212) 203-8234
NPI assigned
May 21, 2008
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A126262 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
76-143 CHS
Los Angeles, CA 90095-6902

Mailing address

11789 Montana Ave
#15
Los Angeles, CA 90049-6711

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000997 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3274776059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1250 16TH St
Suite 2100
Santa Monica, CA 90404-1249
Phone (424) 259-9211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
68.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Aug 1, 2013 Accepting new patients
Regents of the University of California Sports Medicine CurrentSince Sep 1, 2013 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2013 Accepting new patients
Regents of the University of California Sports Medicine CurrentSince Sep 1, 2013 Accepting new patients
County of Los Angeles Current Accepting new patients
Orthopaedic Hospital Past Accepting new patients

Locations

100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

File 54206
Los Angeles, CA 90074

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

3500 Lomita Blvd
Ste 302
Torrance, CA 90505
Phone (310) 257-0028

3500 Lomita Blvd
Ste M100
Torrance, CA 90505
Phone (310) 325-7404

Organizations & group practices 6

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 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1205093895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11789 MONTANA AVE",
            "address_2": "#15",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "76-143 CHS",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956902",
            "telephone_number": "212-203-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTOFER",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A126262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.