Individual provider Active NPI

Jonathan C. King, M.D.

  • Surgical Oncology Physician
  • Santa Monica, CA
National Provider Identifier
1497948350
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A112833 Issued in CA
Practice address
1304 15TH St
Suite 102
Santa Monica, CA 90404-1809
Phone
(310) 319-4080
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A112833 CA
Surgical Oncology Physician 2086X0206X A112833 CA Primary

Addresses

Primary practice location

1304 15TH St
Suite 102
Santa Monica, CA 90404-1809

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

Other practice location 1

200 Ucla Medical Plz Ste B265
Los Angeles, CA 90095-1809
Phone (310) 267-9099

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150826000017 CA Practitioner - Surgical OncologyPractitioner - General Surgery 6103132899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical OncologyAlso: General Surgery
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 8921076795, 14 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone (310) 825-7922

10833 Le Conte Ave
Los Angeles, CA 90095-3075

1223 16TH St
Suite 1100
Santa Monica, CA 90404-1217
Phone (424) 259-8791

200 Medical Plaza
Suite 120
Los Angeles, CA 90024-7002
Phone (310) 390-4099

Hospital & facility affiliations

  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
80.82 of 100Reported as group
Quality
61.6
Promoting interoperability
100
Improvement activities
40
Cost
71.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112833CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Surgical Oncology CurrentSince Jul 24, 2018 Accepting new patients
The Regents of the University of California Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Surgery Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

Regents Of The University
Los Angeles, CA 90074

1304 15th St
Ste 102
Santa Monica, CA 90404
Phone (310) 319-4080

Interoperability endpoints

  • Direct secure messaging: jking37806@direct.uclahealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1497948350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-319-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Ucla Medical Plz Ste B265",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900951809",
            "country_code": "US",
            "telephone_number": "310-267-9099",
            "fax_number": "310-794-9737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JONATHAN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A112833",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A112833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.