Active NPI
Janice M. Nelson, M.D.
- Specialist
- Los Angeles, CA
National Provider Identifier
1942428800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G36134
- Practice address
- 2011 Zonal Ave Ste 209
Los Angeles, CA 90089-0179 - Phone
- (323) 442-2582
- Fax
- (323) 442-2588
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G36134 | CA | Primary |
Addresses
Primary practice location
2011 Zonal Ave Ste 209
Los Angeles, CA 90089-0179
Mailing address
209 Ramona Ave
Sierra Madre, CA 91024-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G36134 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pathology Associates, Inc. | Past | Accepting new patients |
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1952325565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942428800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 RAMONA AVE",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 ZONAL AVE STE 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890179",
"telephone_number": "323-442-2582",
"fax_number": "323-442-2588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JANICE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G36134",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.