Active NPI
Jennifer King, MD
- Obstetrics & Gynecology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A113650
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| A113650 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obstetrix Medical Group of the Central Coast Professional Corporation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Valley Presbyterian Hospital | Past | Accepting new patients | |
| Perinatal Diagnostic Center | Past | 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.
-
- Maternal & Fetal Medicine Physician
- Orange, CA
- NPI 1790970416
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
- Maternal & Fetal Medicine Physician
- Thousand Oaks, CA
- NPI 1144389230
-
- General Acute Care Hospital
- Van Nuys, CA
- NPI 1578529285
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1851340608
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.