Organization Active NPI

Jah Hand Surgery

  • Orthopaedic Hand Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1699173922
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A110193 Issued in CA
Legal business name
JAH HAND SURGERY
Practice address
3617 Avalon Blvd Ste 200
Los Angeles, CA 90011-5601
Phone
(213) 936-8566
Fax
(213) 935-8576
NPI assigned
Dec 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Jennifer Hertz, MDNPI 1366771818
Title
Owner
Phone
(323) 445-6249

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X A110193 CA Primary

Addresses

Primary practice location

3617 Avalon Blvd Ste 200
Los Angeles, CA 90011-5601

Mailing address

1223 Wilshire Blvd
Unit 594
Santa Monica, CA 90403-5406
Phone (213) 935-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150327000115 CA Part B Supplier - Clinic/Group Practice 0648597815 Receives reassigned benefits from 5 practitioners
Practice locations: Los Angeles, CA
O20150910000404 CA DME Supplier - Physician - General Surgery 0648597815 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

9808 Venice Blvd
Ste 603
Culver City, CA 90232
Phone (310) 204-4565

3617 Avalon Blvd
Los Angeles, CA 90011
Phone (213) 935-8566

12099 W Washington Blvd
Ste 300
Los Angeles, CA 90066
Phone (213) 935-8566

3717 Avalon Blvd
Ste 200
Los Angeles, CA 90011

Practitioners & affiliated clinicians

Practitioners 6

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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1699173922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 WILSHIRE BLVD",
            "address_2": "UNIT 594",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035406",
            "telephone_number": "213-935-8566",
            "fax_number": "213-935-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 AVALON BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115601",
            "telephone_number": "213-936-8566",
            "fax_number": "213-935-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAH HAND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HERTZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-445-6249",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A110193",
            "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 May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.