Organization Active NPI

Jennifer Michael MD, a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1265936389
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JENNIFER MICHAEL MD, A MEDICAL CORPORATION
Practice address
2219 S Bentley Ave Apt 104
Los Angeles, CA 90064-1909
Phone
(610) 517-4281
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Jennifer Michael, MDNPI 1366612749
Title
Owner
Phone
(610) 517-4281

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CA Primary

Addresses

Primary practice location

2219 S Bentley Ave Apt 104
Los Angeles, CA 90064-1909

Mailing address

PO Box 643184
Los Angeles, CA 90064-8433
Phone (610) 517-4281

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1265936389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643184",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900648433",
            "telephone_number": "610-517-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 S BENTLEY AVE APT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641909",
            "telephone_number": "610-517-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MICHAEL MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-517-4281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.