Jessica Hollingsworth, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A141070 Issued in CA

Practice address

5471 Kearny Villa Rd Ste 100
San Diego, CA 92123-1141

Phone

(858) 560-4567

Fax

(858) 560-4410

NPI assigned

Mar 29, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

Anesthesiology

Education

University of Texas Medical School at San Antonio, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oregon Anesthesiology Group PCGroup PAC ID 3476451659, 239 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oregon Anesthesiology Group PC

  • Anesthesiology Physician
  • Portland, OR
  • NPI 1477527786
  Medicare reassignment Care Compare group NPD
• Excelle Anesthesia Services, Inc.

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1689317208
  Medicare reassignment NPD
• Innovative Anesthesia Consultants PC

  • Anesthesiology Physician
  • La Mesa, CA
  • NPI 1154815264
  Medicare reassignment NPD
• Sound Physicians Anesthesiology of California PC

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1699408229
  Medicare reassignment NPD
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  Medicare reassignment NPD
• Salem Health

  • Durable Medical Equipment & Medical Supplies
  • Keizer, OR
  • NPI 1487434775
  NPD
• Salem Health

  • Family Medicine Physician
  • Woodburn, OR
  • NPI 1578112066
  NPD
• Regents of the University of California

  • Anesthesiology Physician
  • San Diego, CA
  • NPI 1356444897
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Legacy Meridian Park Hospital

  • General Acute Care Hospital
  • Tualatin, OR
  • NPI 1184647620
  Care Compare affiliation

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1386062115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MAIL CODE 8770",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-543-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231141",
            "telephone_number": "858-560-4567",
            "fax_number": "858-560-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8929 University Center Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921221007",
            "country_code": "US",
            "telephone_number": "858-554-0220",
            "fax_number": "858-554-0458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W arbor Dr",
            "address_2": "Mail Code 8770",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92103",
            "country_code": "US",
            "telephone_number": "619-543-5297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3444 Kearny Villa Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231960",
            "country_code": "US",
            "telephone_number": "858-268-3566",
            "fax_number": "858-268-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A141070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Hollinger
• Jordan Hollings
• Aubrey Hollingsworth
• Danny Joe Hollingsworth, P.T.
• Dorothy Marie Hollingsworth, P.A.-C
• John M Hollingsworth, PAC
• Asia Hollins
• Deborah Hollins, C14961214
• Malika Hollins
• Margaret Anne Hollins, L.M.F.T.

• Anesthesiology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.