Individual provider Active NPI

Jennifer Lee Altman Birkhauser, MD

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1942435433
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A109336 Issued in CA
Practice address
4870 Barranca Pkwy
Ste 300
Irvine, CA 92604-4709
Phone
(949) 791-3102
NPI assigned
May 27, 2009
Last updated
Apr 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A109336 CA Primary

Addresses

Primary practice location

4870 Barranca Pkwy
Ste 300
Irvine, CA 92604-4709

Mailing address

510 Superior Ave
Ste 200B
Newport Beach, CA 92663-3663
Phone (949) 791-3001

Other names 1

  • Mrs. Jennifer Lee Altman 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
I20110602000542 CA Practitioner - Pediatric Medicine 9234316092 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California-Irvine CurrentSince Jun 15, 2011 Accepting new patients
Hoag Clinic CurrentSince Mar 1, 2019 Accepting new patients
Hoag Hospital Past Accepting new patients

Locations

19582 Beach Blvd
Ste 360
Huntington Beach, CA 92648
Phone (714) 477-8001

4870 Barranca Pkwy
Ste 300
Irvine, CA 92604
Phone (949) 552-9628

510 Superior Ave
Ste 200B
Newport Beach, CA 92663
Phone (800) 400-4624

510 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 764-4500

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1942435433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "STE 200B",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633663",
            "telephone_number": "949-791-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-791-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKHAUSER",
        "first_name": "JENNIFER",
        "middle_name": "LEE ALTMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A109336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ALTMAN",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.