Individual provider Active NPI

Jessica Terrell

  • Dermatology Physician
  • Beverly Hills, CA
National Provider Identifier
1205335403
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A189518 Issued in CA
Practice address
99 N la Cienega Blvd Ste 202
Beverly Hills, CA 90211-2285
Phone
(310) 385-3300
NPI assigned
Feb 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A189518 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

99 N la Cienega Blvd Ste 202
Beverly Hills, CA 90211-2285

Mailing address

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105

Other practice location 1

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (619) 294-8111

Other practice location 2

4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (619) 294-8111

Other practice location 3

4610 X St
Sacramento, CA 95817-2200
Phone (916) 734-4110

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20240506004487 CA Practitioner - Dermatology 1658711700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

99 N la Cienega Blvd
Suite 202
Beverly Hills, CA 90211-2285
Phone (310) 385-3300

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A189518CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 5, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 5, 2024 Accepting new patients

Locations

99 N La Cienega Blvd
Ste 202
Beverly Hills, CA 90211
Phone (310) 385-3300

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8723 Alden Dr
Ste 240
Los Angeles, CA 90048
Phone (310) 423-2331

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Interoperability endpoints

  • Direct secure messaging: jterrell375877@scrippshlth.medalliesdirect.net
  • Direct secure messaging: jterrell535070@direct.cshs.org

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 and National Provider Directory roles.

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1205335403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 FIFTH AVE # MER35",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N LA CIENEGA BLVD STE 202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112285",
            "telephone_number": "310-385-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4077 Fifth Ave # Mer35",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "619-294-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4077 Fifth Ave # Mer35",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032105",
            "country_code": "US",
            "telephone_number": "619-294-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4610 X St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172200",
            "country_code": "US",
            "telephone_number": "916-734-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A189518",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5601 De Soto Ave",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913676701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.