Active NPI
Jennie Aufhauser, PA
- Dermatology Physician
- Santa Monica, CA
National Provider Identifier
1417130147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- PA19475
- Practice address
- 2001 Santa Monica Blvd Ste 480W
Santa Monica, CA 90404-2121 - Phone
- (310) 954-9501
- Fax
- (310) 954-9502
- NPI assigned
- Dec 17, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | PA19475 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | PA19475 | CA |
Addresses
Primary practice location
2001 Santa Monica Blvd Ste 480W
Santa Monica, CA 90404-2121
Mailing address
2001 Santa Monica Blvd Ste 480W
Santa Monica, CA 90404-2121
Phone (310) 954-9501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA19475 | Other | CA | LICENSE NUMBER |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Santa Monica Blvd
Suite 480W
Santa Monica, CA 90404-2121
Phone (310) 883-5508
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.01 of 100
- Quality
- 96.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19475 | CA | MD | Chiropractor |
| PA19475 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc. | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1598109167
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1417382102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1417130147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 480W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042121",
"telephone_number": "310-954-9501",
"fax_number": "310-954-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD STE 480W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042121",
"telephone_number": "310-954-9501",
"fax_number": "310-954-9502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUFHAUSER",
"first_name": "JENNIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "PA19475",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA19475",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "PA19475",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.