Individual provider Active NPI

Kieran Jones, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1417678277
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027640 Issued in CA
Practice address
5757 Wilshire Blvd Ste 475
Los Angeles, CA 90036-3632
Phone
(323) 607-2895
NPI assigned
Sep 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95027640 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 475
Los Angeles, CA 90036-3632

Mailing address

5520 Wilshire Blvd Apt 324
Los Angeles, CA 90036-5778
Phone (203) 928-9388

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027640CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua R Gonzalez M D Inc CurrentSince Jul 17, 2024 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients

Locations

5757 Wilshire Blvd
Ste 475
Los Angeles, CA 90036
Phone (323) 607-2895

Organizations & group practices 2

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1417678277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 WILSHIRE BLVD APT 324",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365778",
            "telephone_number": "203-928-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 475",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363632",
            "telephone_number": "323-607-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIERAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.