Individual provider Active NPI

Jenny H. Muller, M.D

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1922178573
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44095 Issued in CA
Practice address
11030 Santa Monica Blvd.
Suite #107
Los Angeles, CA 90025-7553
Phone
(310) 575-0300
Fax
(310) 575-0307
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44095 CA Primary

Addresses

Primary practice location

11030 Santa Monica Blvd.
Suite #107
Los Angeles, CA 90025-7553

Mailing address

11030 Santa Monica Blvd.
Suite #107
Los Angeles, CA 90025-7553
Phone (310) 575-0300

Other names 1

  • Jenny Meshekow Former name

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
I20110113000723 CA Practitioner - Psychiatry 8921297441 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11030 Santa Monica Blvd
Suite 107
Los Angeles, CA 90025-7553
Phone (310) 575-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44095CAMDMarriage & Family Therapist
A44095CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1922178573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 SANTA MONICA BLVD.",
            "address_2": "SUITE #107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257553",
            "telephone_number": "310-575-0300",
            "fax_number": "310-575-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 SANTA MONICA BLVD.",
            "address_2": "SUITE #107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257553",
            "telephone_number": "310-575-0300",
            "fax_number": "310-575-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "JENNY",
        "middle_name": "H.",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "MESHEKOW",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.