Individual provider Active NPI

Jason K Gentile, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manhattan Beach, CA
National Provider Identifier
1700099249
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
A95677 Issued in CA
Practice address
1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone
(310) 376-6262
Fax
(310) 376-8228
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A95677 CA
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X A95677 CA Primary

Addresses

Primary practice location

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929

Mailing address

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone (310) 376-6262

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
I20081104000272 CA Practitioner - Emergency Medicine 5395804454 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services Medical Corporation CoronadoGroup PAC ID 3779904438, 26 clinicians

Practice addresses (Care Compare)

250 Prospect PL
Coronado, CA 92118-1943
Phone (858) 759-4765

Hospital & facility affiliations

  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95677CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Emergency Physicians Inc Emergency Medicine CurrentSince Jan 31, 2011 Accepting new patients
Tarzana Emergency Medical Associates Emergency Medicine CurrentSince Dec 27, 2014 Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine CurrentSince Apr 9, 2019 Accepting new patients
San Diego Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Oct 2, 2019 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Chino Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 1, 2010 Accepting new patients
Emergency Services Medical Corporation Coronado Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Temecula Valley Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 19, 2013 Accepting new patients
Emergency Services Medical Corporation Emergency Medicine CurrentSince Nov 6, 2019 Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

111 N Sepulveda Blvd
Ste 210
Manhattan Beach, CA 90266
Phone (310) 714-7852

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Interoperability endpoints

  • Direct secure messaging: jgentile8214@ahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1700099249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262",
            "fax_number": "310-376-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665929",
            "telephone_number": "310-376-6262",
            "fax_number": "310-376-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "JASON",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-03-23",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A95677",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "A95677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.