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 with the weekly NPPES data releases published by CMS.

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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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