Jennifer Marie Edwards, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14956 Issued in CA

Practice address

4425 South Central Ave.
Los Angeles, CA 90009-1694

Phone

(323) 908-4200

Fax

(323) 908-4262

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.edwards@215717371183108.direct.elationemr.com

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1477614089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 91694",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091694",
            "telephone_number": "323-908-4200",
            "fax_number": "323-908-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 SOUTH CENTRAL AVE.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900091694",
            "telephone_number": "323-908-4200",
            "fax_number": "323-908-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna R Edwards
• Elizabeth Dale Edwards, M.S. CCC-A
• Esme Edwards
• Irv Edward Edwards, M.D.
• Jay Edwards, MFT
• Jeremiah Edwards, LPT
• Juliana Edwards
• Kendall Dwayne Edwards
• Kevonn Marquis Edwards
• Krystle Edwards

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.