Active NPI
Jessica E Nord, M.D.
- Psychiatry Physician
- Santa Monica, CA
National Provider Identifier
1548454036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A89649
- Practice address
- 2730 Wilshire Blvd Ste 600
Santa Monica, CA 90403-4755 - Phone
- (424) 653-3630
- NPI assigned
- Aug 28, 2007
- Last updated
- Dec 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A89649 | CA | Primary |
Addresses
Primary practice location
2730 Wilshire Blvd Ste 600
Santa Monica, CA 90403-4755
Mailing address
2730 Wilshire Blvd Ste 600
Santa Monica, CA 90403-4755
Phone (424) 653-3630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 5, 2026 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89649 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1548454036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD STE 600",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034755",
"telephone_number": "424-653-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 WILSHIRE BLVD STE 600",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034755",
"telephone_number": "424-653-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORD",
"first_name": "JESSICA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A89649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.