JENNIFER MIN
NPI 1144766841
Pediatrics in Los Angeles, CA

Active since January 18, 2017PECOS Enrolled
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029(323) 953-7170 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2020, Jan 18, 2017 (2 updates tracked since 2017).

About Jennifer Min NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER MIN (NPI 1144766841) is an individual pediatrics provider in Los Angeles, California, licensed in California (A153929) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144766841
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER MIN
Location Address4618 FOUNTAIN AVELos Angeles, CA 90029-1830
Mailing Address950 S Grand Ave Fl 2Los Angeles, CA 90015-3999
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1144766841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A153929
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4618 FOUNTAIN AVE, Los Angeles, CA 90029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Min is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Min reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1910 MAGNOLIA AVE
Los Angeles, CA 90007
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Student in an Organized Health Care Education/Training Program
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Community Health Worker
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Social Worker (Clinical)
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Student in an Organized Health Care Education/Training Program
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Pediatrics
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029
Case Manager/Care Coordinator
4618 FOUNTAIN AVE, SUITE 102
LOS ANGELES, CA 90029
Social Worker (Clinical)
4618 FOUNTAIN AVE
LOS ANGELES, CA 90029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Min's NPI number?

The NPI number for Jennifer Min is 1144766841. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Jennifer Min located?

Jennifer Min practices at 4618 Fountain Ave, Los Angeles, CA 90029. The listed phone number is (323) 953-7170.

What is Jennifer Min's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jennifer Min enrolled in Medicare?

Yes. Jennifer Min is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Min's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Min reassigns Medicare benefits to 3 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA), St. Johns Community Health (Los Angeles, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Min's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Min was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.