Individual provider Active NPI

Jane Yana Kauffman, M,D.

  • Cardiovascular Disease Physician
  • West Hollywood, CA
National Provider Identifier
1528004470
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A51293 Issued in CA
Practice address
8733 Beverly Blvd
Suite 312
West Hollywood, CA 90048-1827
Phone
(310) 652-6775
Fax
(310) 652-6195
NPI assigned
Jun 21, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A51293 CA
Cardiovascular Disease Physician 207RC0000X A51293 CA Primary

Addresses

Primary practice location

8733 Beverly Blvd
Suite 312
West Hollywood, CA 90048-1827

Mailing address

8733 Beverly Blvd.
Suite 312
West Hollywood, CA 90048-1843
Phone (310) 652-6775

Other identifiers 1

IdentifierTypeStateIssuer
00A512931MedicaidCA

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
I20050513000349 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9032150651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8733 Beverly Blvd
Suite 312
West Hollywood, CA 90048-1843
Phone (310) 652-6775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51293CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jane Y Kauffman, MD, PC CurrentSince Jul 2, 2001 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8733 Beverly Blvd
Ste 312
West Hollywood, CA 90048
Phone (310) 652-6775

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1528004470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD.",
            "address_2": "SUITE 312",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481843",
            "telephone_number": "310-652-6775",
            "fax_number": "310-652-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BEVERLY BLVD",
            "address_2": "SUITE 312",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481827",
            "telephone_number": "310-652-6775",
            "fax_number": "310-652-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFFMAN",
        "first_name": "JANE",
        "middle_name": "YANA",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51293",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A512931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.