Individual provider Active NPI

Jennifer B Michael, MD MPH

  • Hospitalist Physician
  • Lancaster, CA
National Provider Identifier
1366612749
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A118026 Issued in CA
Practice address
1600 W Avenue J
Lancaster, CA 93534-2814
Phone
(310) 825-2916
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43677 AZ
Internal Medicine Physician 207R00000X MD438673 PA
Internal Medicine Physician 207R00000X A118026 CA
Internal Medicine Physician 207R00000X 4301097767 MI
Hospitalist Physician 208M00000X A118026 CA Primary
Hospitalist Physician 208M00000X 43677 AZ

Addresses

Primary practice location

1600 W Avenue J
Lancaster, CA 93534-2814

Mailing address

PO Box 643184
Los Angeles, CA 90064-8433
Phone (610) 517-4281

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
I20121108000161 CA Practitioner - HospitalistPractitioner - Internal Medicine 2264620707 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43677AZMDInternal Medicine Physician
4301097767MIMDInternal Medicine Physician
MD438673PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Jan 12, 2015 Accepting new patients
Torrance Health Association Inc Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Jan 12, 2015 Accepting new patients
Horizon Multicare Group Inc Internal Medicine CurrentSince Nov 15, 2017 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2014 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine Past Accepting new patients
Petrel Emergency Physicians, a Medical Corporation PastSince Sep 28, 2015 Accepting new patients
Banner Sun City Medical Group Past Accepting new patients

Locations

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1642 W Avenue J
Lancaster, CA 93534
Phone (661) 942-8463

44445 15th St W
Lancaster, CA 93534
Phone (661) 948-7501

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

File 55737
Los Angeles, CA 90074

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Organizations & group practices 8

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1366612749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643184",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900648433",
            "telephone_number": "610-517-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342814",
            "telephone_number": "310-825-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43677",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD438673",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118026",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097767",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A118026",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "43677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.