Individual provider Active NPI

Joslyn Lois Gumbs, MD

  • Obstetrics Physician
  • Los Angeles, CA
National Provider Identifier
1285658690
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A87245 Issued in CA
Practice address
1300 N Vermont Ave Ste 804
Los Angeles, CA 90027-6091
Phone
(323) 257-1814
Fax
(323) 257-1314
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A87245 CA
Obstetrics Physician 207VX0000X A87245 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 804
Los Angeles, CA 90027-6091

Mailing address

1680 La Loma Road
Pasadena, CA 91105-2158
Phone (323) 385-8662

Other identifiers 2

IdentifierTypeStateIssuer
00A872450MedicaidCA
00A872450OtherCABLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlgumbmd@direct.practicefusion.com Direct

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
I20090617000059 CA Practitioner - Obstetrics/Gynecology 0244380004 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 804
Los Angeles, CA 90027-6091
Phone (323) 257-1814

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87245CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Obstetricians and Gynecologists, Inc. Gynecology Past Accepting new patients
Dignity Community Care Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Genezen Home Health Care Services Inc PastSince Jul 9, 2016 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jlgumbmd@direct.practicefusion.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Veroma Home Health IncEncino, CA, CCN 053103 Home health agency Corporate Director Aug 12, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1285658690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 LA LOMA ROAD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052158",
            "telephone_number": "323-385-8662",
            "fax_number": "323-257-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 804",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276091",
            "telephone_number": "323-257-1814",
            "fax_number": "323-257-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBS",
        "first_name": "JOSLYN",
        "middle_name": "LOIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A87245",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A87245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A872450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A872450",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlgumbmd@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "health records",
            "address_1": "1300 N Vermont Ave Ste 804",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900276091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.