DR. JEANETTE MARIE BLACK M.D.
NPI 1497070510
Dermatology - Procedural Dermatology in Los Angeles, CA

Q: What is Jeanette Black's NPI number?

The NPI number for Jeanette Black is 1497070510. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Q: What is Jeanette Black's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for Jeanette Black was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 31, 2010PECOS Enrolled

9201 W SUNSET BLVD, SUITE 602, LOS ANGELES, CA 90069(310) 246-0495(310) 246-0496 Get Directions Write a Review

NPPES record last updated: June 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 23, 2017, Sep 4, 2016 (2 updates tracked since 2016).

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About Dr. Jeanette Marie Black M.d. NPPES

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

DR. JEANETTE MARIE BLACK M.D. (NPI 1497070510) is an individual procedural dermatology provider in Los Angeles, California, licensed in California (A136731) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497070510

Entity TypeIndividualFemale

Primary Taxonomy207NS0135X

Provider Legal NameDR. JEANETTE MARIE BLACKCredential: M.D.

Location Address9201 W SUNSET BLVD, SUITE 602Los Angeles, CA 90069-3701

Mailing Address2285 Corporate Cir, Ste 200Henderson, NV 89074-7759 · (702) 360-2763 · Fax (949) 783-2880

Phone(310) 246-0495

Fax(310) 246-0496

Sole ProprietorYes

Enumeration DateMarch 31, 2010

Last NPPES UpdateJune 23, 20172 updates tracked since enumeration

✔ NPI 1497070510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in CA · A136731

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

9201 W SUNSET BLVD, Los Angeles, CA 90069

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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 (PECOS)

Dr. Jeanette Marie Black M.d. 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 Reassignment

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

J Robert West, M.D., Inc

44 mi

Dermatology

400 NEWPORT CENTER DR STE 702
Newport Beach, CA 92660

Reassigned Medicare billing, California enrollment
Medicare enrollment name: J Robert West MD Inc
121 clinicians in this Medicare group

NPI 1932154788 (949) 644-0101

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 90069 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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.

9201 SUNSET SURGERY CENTER, INC.

Clinic/Center (Ambulatory Surgical)

9201 W SUNSET BLVD, SUITE GF
LOS ANGELES, CA 90069

Los Angeles County (310) 274-9201

JOSEPH T DEFOTO MD

Family Medicine

9201 W SUNSET BLVD, SUITE 812
LOS ANGELES, CA 90069

Los Angeles County (310) 550-1010

DR. GARY DEAN LONDON M.D.

Preventive Medicine (Public Health & General Preventive Medicine)

9201 W SUNSET BLVD, SUITE 902
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 270-4500

OMID FARAHMAND D.M.D.

Dentist (General Practice)

9201 W SUNSET BLVD, SUITE 915
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 273-3650

JAMES R BERENSON, M.D., INC

Specialist

9201 W SUNSET BLVD, SUITE 310
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 623-1222

DR. JAMES RICHARD BERENSON M.D.

Specialist (Research Study)

9201 W SUNSET BLVD, SUITE 310
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 623-1222

DR. ANDREA STRAUSS CORSUN D.D.S.

Dentist (General Practice)

9201 W SUNSET BLVD, SUITE 815
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 859-8731

IAN ANTHONY NOVOTNY D.P.T.

Physical Medicine & Rehabilitation

9201 W SUNSET BLVD, M120
WEST HOLLYWOOD, CA 90069

Los Angeles County (310) 246-1050

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 Jeanette Black's NPI number?

The NPI number for Jeanette Black is 1497070510. It was assigned to this individual provider in the NPPES registry on March 31, 2010.

Where is Jeanette Black located?

Jeanette Black practices at 9201 W Sunset Blvd Suite 602, Los Angeles, CA 90069. The listed phone number is (310) 246-0495.

What is Jeanette Black's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Jeanette Black enrolled in Medicare?

Yes. Jeanette Black is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Black reassigns Medicare benefits to J Robert West, M.D., Inc (Newport Beach, 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 Jeanette Black'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 Jeanette Black was last updated on June 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.