Individual provider Active NPI

Kenneth H Jesser, M.D.

  • Specialist
  • Palm Desert, CA
National Provider Identifier
1336233147
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44813 Issued in CA
Practice address
44530 San Pablo Ave
Suite 100
Palm Desert, CA 92260-3597
Phone
(760) 341-7563
Fax
(760) 341-7564
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A44813 CA Primary

Addresses

Primary practice location

44530 San Pablo Ave
Suite 100
Palm Desert, CA 92260-3597

Mailing address

44530 San Pablo Ave
Suite 100
Palm Desert, CA 92260-3597
Phone (760) 341-7563

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
I20040202001208 CA Practitioner - Emergency Medicine 6507769080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Johns Hopkins University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44530 San Pablo
Suite 100
Palm Desert, CA 92260-3597

44530 San Pablo Ave
Palm Desert, CA 92260-3597
Phone (760) 341-7563

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth H Jesser MD Inc Specialist CurrentSince Nov 3, 2008 Accepting new patients
Leary and Jesser, Inc. Specialist PastSince Feb 14, 2002 Accepting new patients
Leary and Jesser, Inc. Specialist Past Accepting new patients

Locations

44530 San Pablo Ave
Ste 100
Palm Desert, CA 92260
Phone (760) 341-7563

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1336233147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603597",
            "telephone_number": "760-341-7563",
            "fax_number": "760-341-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44530 SAN PABLO AVE",
            "address_2": "SUITE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603597",
            "telephone_number": "760-341-7563",
            "fax_number": "760-341-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSER",
        "first_name": "KENNETH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.