Individual provider Active NPI

Jacqueline D Adler, M.D.

  • Infectious Disease Physician
  • West Hills, CA
National Provider Identifier
1326094582
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
7081A Issued in WY
Practice address
7325 Medical Center Dr Ste 300
West Hills, CA 91307-4117
Phone
(818) 595-3580
NPI assigned
May 26, 2006
Last updated
Mar 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 7081A WY
Infectious Disease Physician 207RI0200X 7081A WY Primary

Addresses

Primary practice location

7325 Medical Center Dr Ste 300
West Hills, CA 91307-4117

Mailing address

2118 Wilshire Blvd # 894
Santa Monica, CA 90403-5704

Other identifiers 3

IdentifierTypeStateIssuer
A052362OtherCAMEDICAL BOARD OF CALIFORNIA
121742900MedicaidWY
313871OtherWYBLUE CROSS BLUE SHIED

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline D Adler, MD, LLC Infectious Disease CurrentSince Aug 18, 2005 Accepting new patients

Locations

1333 W 5th St
Ste 201
Sheridan, WY 82801
Phone (307) 674-0700

532 Val Vista St
Ste 103
Sheridan, WY 82801
Phone (307) 674-0700

Interoperability endpoints

  • Direct secure messaging: jacqueline.adler.p1@direct.lakeside.nextgenshare.com

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1326094582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 WILSHIRE BLVD # 894",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 MEDICAL CENTER DR STE 300",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913074117",
            "telephone_number": "818-595-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "7081A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "WY",
            "license": "7081A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A052362",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121742900",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIED",
            "identifier": "313871",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.