Individual provider Active NPI

Jay Michael Kleinman, DO

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1467492926
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A13124 Issued in CA
Practice address
2454 Horse Shoe Canyon Rd
Los Angeles, CA 90046-1540
Phone
(860) 969-6400
NPI assigned
Jun 6, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A13124 CA Primary
Diagnostic Radiology Physician 2085R0202X OS005872L PA
Diagnostic Radiology Physician 2085R0202X 67203 CT

Addresses

Primary practice location

2454 Horse Shoe Canyon Rd
Los Angeles, CA 90046-1540

Mailing address

1000 Asylum Ave Ste 3201E
Hartford, CT 06105-1714
Phone (860) 969-6400

Other practice location 1

1 Medical Center Blvd
Upland, PA 19013-3902
Phone (610) 447-2500

Other practice location 2

1000 Asylum Ave Ste 3201E
Hartford, CT 06105-1714
Phone (860) 969-6400

Other identifiers 1

IdentifierTypeStateIssuer
001212197MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050706000184 PA Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 9537105143 Reassigns benefits to 2 organizations
I20210204002484 CT Practitioner - Diagnostic Radiology 9537105143 Reassigns benefits to 1 organization
I20210209002389 CA Practitioner - Diagnostic Radiology 9537105143

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-2222

2301 S Broad St
Philadelphia, PA 19148-3542

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13124CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Jul 18, 1990 Accepting new patients
Radiology Associates of Hartford PLLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
MRI Professionals Inc. Diagnostic Radiology Past Accepting new patients

Locations

1000 Asylum Ave
Ste 3201E
Hartford, CT 06105
Phone (860) 714-2724

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467492926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3201E",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051714",
            "telephone_number": "860-969-6400",
            "fax_number": "860-969-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 HORSE SHOE CANYON RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900461540",
            "telephone_number": "860-969-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-2500",
            "fax_number": "610-956-0069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Asylum Ave Ste 3201E",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051714",
            "country_code": "US",
            "telephone_number": "860-969-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINMAN",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A13124",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS005872L",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "67203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001212197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.