Active NPI
Jessica Kay Jeffrey, MD, MPH, MBA
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1275760043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A116023
- Practice address
- 11318 National Blvd
Los Angeles, CA 90064-3727 - Phone
- (310) 825-5263
- NPI assigned
- Jun 18, 2009
- Last updated
- Jul 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A116023 | CA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | A116023 | CA |
Addresses
Primary practice location
11318 National Blvd
Los Angeles, CA 90064-3727
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707
Other practice location 1
424 S Sherbourne Dr
8
Los Angeles, CA 90048-4028
Phone (310) 205-8942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116023 | CA | MD | Addiction Psychiatry Physician |
Interoperability endpoints
- jjeffrey38302@direct.uclahealth.org
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Los Angeles, CA
- NPI 1225767247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1275760043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11318 NATIONAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900643727",
"telephone_number": "310-825-5263"
}
],
"practiceLocations": [
{
"address_1": "424 S Sherbourne Dr",
"address_2": "8",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900484028",
"country_code": "US",
"telephone_number": "310-205-8942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEFFREY",
"first_name": "JESSICA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "MD, MPH, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A116023",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "A116023",
"primary": false
}
],
"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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.