Individual provider Active NPI

Jennifer King, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1689980690
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A113650 Issued in CA
Practice address
1200 N State St
Inpatient Tower, Room C3F107
Los Angeles, CA 90033-1029
Phone
(323) 409-8848
Fax
(323) 441-7219
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A113650 CA Primary

Addresses

Primary practice location

1200 N State St
Inpatient Tower, Room C3F107
Los Angeles, CA 90033-1029

Mailing address

1200 N State St
Inpatient Tower, Room C3F107
Los Angeles, CA 90033-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220000080 CA Practitioner - Obstetrics/Gynecology 1355639758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6850 Sepulveda Blvd
Suite 207
Van Nuys, CA 91405-4449
Phone (805) 777-7406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113650CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of the Central Coast Professional Corporation CurrentSince Oct 17, 2024 Accepting new patients
Dignity Health Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Perinatal Diagnostic Center PastSince Oct 17, 2024 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

427 W Pueblo St
Ste A
Santa Barbara, CA 93105
Phone (805) 687-7336

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

2100 Lynn Rd
Ste 125
Thousand Oaks, CA 91360
Phone (805) 375-7900

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

6850 Sepulveda Blvd
Ste 207
Van Nuys, CA 91405
Phone (805) 777-7406

29 N Brent St
Ventura, CA 93003
Phone (805) 643-9781

23101 Sherman Pl
Ste 304
West Hills, CA 91307
Phone (805) 777-7406

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1689980690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "INPATIENT TOWER, ROOM C3F107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "INPATIENT TOWER, ROOM C3F107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-409-8848",
            "fax_number": "323-441-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A113650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.