Individual provider Active NPI

Jane Frances Hammond, PA-C

  • Physician Assistant
  • Agoura Hills, CA
National Provider Identifier
1972614782
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15509 Issued in CA
Practice address
28240 Agoura Rd Ste 201
Agoura Hills, CA 91301-2437
Phone
(747) 334-2443
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15509 CA Primary

Addresses

Primary practice location

28240 Agoura Rd Ste 201
Agoura Hills, CA 91301-2437

Mailing address

1421 Bonnell Dr
Topanga, CA 90290-3902
Phone (310) 487-0911

Other practice location 1

20800 Sherman Way
Winnetka, CA 91306-2707
Phone (818) 883-2273

Other identifiers 4

IdentifierTypeStateIssuer
BCP70769FOtherCACDC GRP #
HAP70769FOtherCAFAM PLAN GRP #
FHC70769FMedicaidCA
PA15509OtherCALICENSE #

Other names 1

  • Jane Frances Rollins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 13, 2023 through Jul 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15509CAMDSpeech-Language Pathologist
PA15509CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972614782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BONNELL DR",
            "city": "TOPANGA",
            "state": "CA",
            "postal_code": "902903902",
            "telephone_number": "310-487-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28240 AGOURA RD STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012437",
            "telephone_number": "747-334-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20800 Sherman Way",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "CA",
            "postal_code": "913062707",
            "country_code": "US",
            "telephone_number": "818-883-2273",
            "fax_number": "818-347-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JANE",
        "middle_name": "FRANCES",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDC GRP #",
            "identifier": "BCP70769F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAM PLAN GRP #",
            "identifier": "HAP70769F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70769F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PA15509",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ROLLINS",
            "middle_name": "FRANCES",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.