Organization Active NPI

Hfmla Physician Assistant Inc

  • Medical Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1598528879
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
HFMLA PHYSICIAN ASSISTANT INC
Practice address
6221 Wilshire Blvd Ste 210
Los Angeles, CA 90048-5226
Phone
(917) 449-3478
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Karen Jacobs, PA-CNPI 1609272335
Title
Partner/PA-C
Phone
(323) 651-4454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X Primary

Addresses

Primary practice location

6221 Wilshire Blvd Ste 210
Los Angeles, CA 90048-5226

Mailing address

6221 Wilshire Blvd Ste 210
Los Angeles, CA 90048-5226
Phone (917) 449-3478

Other names 1

  • Holistic Family Medicine of Los Angeles Doing business as

National Provider Directory

National Provider Directory

Locations

6221 Wilshire Blvd
Ste 210
Los Angeles, CA 90048
Phone (323) 651-3228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1598528879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485226",
            "telephone_number": "917-449-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485226",
            "telephone_number": "917-449-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HFMLA PHYSICIAN ASSISTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PARTNER/PA-C",
        "authorized_official_telephone_number": "323-651-4454",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Family Medicine of Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holistic Family Medicine of Los Angeles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.