NPIMap

Organization Active NPI

Jha Geriatric Services, Inc

  • Physical Therapy Clinic/Center
  • Playa Vista, CA
National Provider Identifier
1902403041
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
JHA GERIATRIC SERVICES, INC
Practice address
12490 Fielding Circle
Suite 174
Playa Vista, CA 90094-3024
Phone
(424) 216-7239
Fax
(818) 655-0421
NPI assigned
Oct 1, 2020
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
JHA GERIATRIC SERVICES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Nancy Autolino
Title
Director of Accounts Receivable
Phone
(818) 757-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

12490 Fielding Circle
Suite 174
Playa Vista, CA 90094-3024

Mailing address

7150 Tampa Ave
Reseda, CA 91335-3700
Phone (818) 942-2284

Other names 1

  • Serenity Essential Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224001368 CA Part B Supplier - Clinic/Group Practice 2062321151 Receives reassigned benefits from 25 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reseda, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Jha Geriatric SVCS Inc

Locations

6345 Balboa Blvd
Ste 315
Encino, CA 91316
Phone (213) 841-9437

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1902403041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 TAMPA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353700",
            "telephone_number": "818-942-2284",
            "fax_number": "818-757-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 FIELDING CIRCLE",
            "address_2": "SUITE 174",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900943024",
            "telephone_number": "424-216-7239",
            "fax_number": "818-655-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHA GERIATRIC SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JHA GERIATRIC SERVICES, INC",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "AUTOLINO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "818-757-4447"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Essential Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Playa Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.