Active NPI
Jacqueline D Adler, M.D.
- Infectious Disease Physician
- West Hills, CA
National Provider Identifier
1326094582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 7081A
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A052362 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| 121742900 | Medicaid | WY | |
| 313871 | Other | WY | BLUE 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline D Adler, MD, LLC | Infectious Disease | Current | 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
- 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.
-
- Infectious Disease Physician
- Sheridan, WY
- NPI 1538213491
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.