Individual provider Active NPI

Jessica Membreno, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1285215830
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A183052 Issued in CA
Practice address
757 Westwood Plaza, Psychiatry
Los Angeles, CA 90095-7419
Phone
(310) 206-6721
Fax
(310) 825-0340
NPI assigned
Apr 15, 2021
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A183052 CA Primary

Addresses

Primary practice location

757 Westwood Plaza, Psychiatry
Los Angeles, CA 90095-7419

Mailing address

757 Westwood Plaza, Psychiatry
Los Angeles, CA 90095-7419
Phone (310) 206-6721

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
I20221221000956 CA Practitioner - Psychiatry 2466822184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Un of California, Irvine, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of Los AngelesGroup PAC ID 8224020805, 11 clinicians

Practice addresses (Care Compare)

330 N Fairfax Ave
Los Angeles, CA 90036-2109
Phone (323) 937-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A183052CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Los Angeles CurrentSince Jul 1, 2025 Accepting new patients

Locations

330 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 937-5900

12821 Victory Blvd
North Hollywood, CA 91606
Phone (818) 432-5025

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.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1285215830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA, PSYCHIATRY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-206-6721",
            "fax_number": "310-825-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLAZA, PSYCHIATRY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957419",
            "telephone_number": "310-206-6721",
            "fax_number": "310-825-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBRENO",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A183052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.