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JENNIFER DONGJOO NAM
NPI 1285260158
Anesthesiology in Los Angeles, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
757 WESTWOOD PLZ STE 3325, LOS ANGELES, CA 90095(310) 267-8653(310) 267-3899 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2024, Mar 23, 2020 (2 updates tracked since 2020).

About Jennifer Dongjoo Nam NPPES

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

JENNIFER DONGJOO NAM (NPI 1285260158) is an individual anesthesiology provider in Los Angeles, California, licensed in California (A188392) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2020).

NPPES Registry Identity

NPI1285260158
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJENNIFER DONGJOO NAM
Location Address757 WESTWOOD PLZ STE 3325Los Angeles, CA 90095-8358
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 267-8653
Fax(310) 267-3899
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1285260158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A188392
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
757 WESTWOOD PLZ STE 3325, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Dongjoo Nam is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739622077
PECOS Enrollment IDI20240614003093
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 Reassignment

Medicare enrollment records show Jennifer Nam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.5 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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

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.

MARIYA SVILIK MD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. BIJAN NAVIDI M.D.
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. FREDERICK CONRAD LI M.D.
Anesthesiology (Pain Medicine)
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 794-4494
LEO LUAN LI MD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
ANDREW THOMAS SCALES DO
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626
DR. SO HEE LEE DNAP
Nurse Anesthetist, Certified Registered
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SHELLY ANDERSON CRNA
Nurse Anesthetist, Certified Registered
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (331) 026-7389
DR. SUNGSOO KIM MD, PHD
Anesthesiology
757 WESTWOOD PLZ STE 3325
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8626

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 Nam's NPI number?

The NPI number for Jennifer Nam is 1285260158. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Jennifer Nam located?

Jennifer Nam practices at 757 Westwood Plz Ste 3325, Los Angeles, CA 90095. The listed phone number is (310) 267-8653.

What is Jennifer Nam's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jennifer Nam enrolled in Medicare?

Yes. Jennifer Nam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jennifer Nam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Nam reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Nam'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 Nam was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.