Jared Michael Kirsch, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A190423 Issued in CA

Practice address

14111 Van Ness Ave Ste 2
Gardena, CA 90249-2944

Phone

(310) 516-9152

NPI assigned

Apr 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAD

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.

• The Roads Foundation, Inc.

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1508278359
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1528700978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S JUANITA AVE UNIT A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773693",
            "telephone_number": "404-610-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 VAN NESS AVE STE 2",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492944",
            "telephone_number": "310-516-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A190423",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann King
• Sandra Jean King
• Damont Lee Kirk
• Jonathan Eliot Kirkland
• Macy Mikaila Kirkwood
• Summer T. Kishiyama
• Kiyomi Yamazaki, DDS, Inc
• Marianne Pesci Klee, PSY.D.
• Katelyn Hope Anderson Klein
• Rory Aran Kleven

• Pediatrics Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.