Individual provider Active NPI

Jorge Alejandro Doria Medina Sanchez, MD

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1770014110
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A169360 Issued in CA
Practice address
1245 Wilshire Blvd Ste 514
Los Angeles, CA 90017-4805
Phone
(213) 482-5141
Fax
(213) 482-8128
NPI assigned
Mar 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A169360 CA
Nephrology Physician 207RN0300X A169360 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd Ste 514
Los Angeles, CA 90017-4805

Mailing address

1245 Wilshire Blvd Ste 514
Los Angeles, CA 90017-4805
Phone (213) 482-5141

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
I20230131001755 CA Practitioner - Nephrology 6608146204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feinstein and Roe MDS IncGroup PAC ID 5294632022, 4 clinicians

Practice addresses (Care Compare)

1245 Wilshire Blvd
Suite 514
Los Angeles, CA 90017-4805
Phone (213) 482-5181

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A169360CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feinstein & Roe MDS Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

1245 Wilshire Blvd
Ste 514
Los Angeles, CA 90017
Phone (213) 482-5141

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1770014110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174805",
            "telephone_number": "213-482-5141",
            "fax_number": "213-482-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD STE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174805",
            "telephone_number": "213-482-5141",
            "fax_number": "213-482-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIA MEDINA SANCHEZ",
        "first_name": "JORGE",
        "middle_name": "ALEJANDRO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A169360",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A169360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.