Shirlene Jay, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G83142 Issued in CA

Practice address

3400 Lomita Blvd
Suite 503
Torrance, CA 90505-4909

Phone

(310) 257-1988

Fax

(310) 257-1897

NPI assigned

Mar 16, 2006

Last updated

Mar 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Dermatology

Education

University of Vermont College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Golden State Dermatology Associates Inc.

  • Dermatology Physician
  • Walnut Creek, CA
  • NPI 1700860871
  Medicare reassignment Care Compare group NPD
• Shirlene Jay, M.D., Inc

  • Dermatology Physician
  • Torrance, CA
  • NPI 1366637449
  Medicare reassignment
• Golden State Dermatology Associates, Inc.

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
  • NPI 1235738576
  NPD
• Howard Fein MD Inc

  dba Pacific Dermatology Specialists

  • Dermatology Physician
  • Rllng HLS Est, CA
  • NPI 1073795266
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

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

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1730158197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE 503",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-257-1988",
            "fax_number": "310-257-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMITA BLVD",
            "address_2": "SUITE 503",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054909",
            "telephone_number": "310-257-1988",
            "fax_number": "310-257-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "SHIRLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G83142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G831421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meenakshi Jasuja, RN
• Milad Javaherian, MD
• Javid Dental Corporation (Dr. Smile)
• Javid Dental Corporation (Dr. Smile)
• Javida Medical Lab and Logistics
• Jay's Golf Academy Inc. (Venice Optical)
• Jaybird Wellness Group, a Psychological Corporation (Jaybird Wellness Group)
• Jayme M Jones, PHD, a Psychological Corporation
• JCH Medcare Services, LLC (N/a)
• Jeb Corporation

• Dermatology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.

Verify at the official NPI Registry.