Individual provider Active NPI

Jennafer Diane Piccolo Francis, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1720410061
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22831 Issued in CA
Practice address
9915 S. Santa Monica Blvd
Beverly Hills, CA 90404
Phone
(310) 843-9915
Fax
(310) 843-9925
NPI assigned
Aug 8, 2013
Last updated
Jul 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22831 CA Primary

Addresses

Primary practice location

9915 S. Santa Monica Blvd
Beverly Hills, CA 90404

Mailing address

9915 S. Santa Monica Blvd
Beverly Hills, CA 90212
Phone (310) 843-9915

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22831CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R. Sonia Batra, M.D., Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1720410061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9915 S. SANTA MONICA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-843-9915",
            "fax_number": "310-843-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9915 S. SANTA MONICA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-843-9915",
            "fax_number": "310-843-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "JENNAFER",
        "middle_name": "DIANE PICCOLO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.