Active NPI
Jheralyn G Martin, MSPA-C
- Physician Assistant
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 22932
- Practice address
- 10833 Le Conte Ave
Los Angeles, CA 90095-1003 - Phone
- (310) 319-1234
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22932 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
Los Angeles, CA 90095-1003
Mailing address
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Other practice location 1
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone (310) 478-3711
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Plaza
Suite 170
Los Angeles, CA 90095-0001
Phone (310) 319-1234
1250 16TH St
Santa Monica, CA 90404-1249
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
100 UCLA Medical Plz
Ste 755
Los Angeles, CA 90024
Phone (310) 206-2386
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
Interoperability endpoints
- jmartin610867@direct.uclahealth.org
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.
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- NPI 1144112699
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-
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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": "1524787200000",
"number": "1760814172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900731003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951003",
"telephone_number": "310-319-1234"
}
],
"practiceLocations": [
{
"address_1": "11301 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900731003",
"country_code": "US",
"telephone_number": "310-478-3711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "JHERALYN",
"middle_name": "G",
"credential": "MSPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "22932",
"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 Apr 27, 2018; 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.