Active NPI
Jasmine Kadosh
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1689307746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA64577
- Practice address
- 2214 S Hoover St
Los Angeles, CA 90007-1848 - Phone
- (213) 622-3100
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA64577 | CA | Primary |
Addresses
Primary practice location
2214 S Hoover St
Los Angeles, CA 90007-1848
Mailing address
262 N Crescent Dr Apt 3F
Beverly Hills, CA 90210-4833
Phone (310) 985-9950
Other practice location 1
1000 S Fremont Ave Bldg A-11
Alhambra, CA 91803-8800
Phone (626) 457-4240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA64577 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jasmine.kadosh.1@9873.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1689307746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 N CRESCENT DR APT 3F",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104833",
"telephone_number": "310-985-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 S HOOVER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071848",
"telephone_number": "213-622-3100"
}
],
"practiceLocations": [
{
"address_1": "1000 S Fremont Ave Bldg A-11",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "918038800",
"country_code": "US",
"telephone_number": "626-457-4240",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADOSH",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA64577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 25, 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.