Active NPI
Hfmla Physician Assistant Inc
- Medical Physician Assistant
- Los Angeles, CA
National Provider Identifier
1598528879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Jacobs, PA-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Medical Physician Assistant | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Los Angeles, CA
- NPI 1609272335
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.