CAROLINE HAVEN HUMPHREYS – Emergency Medicine Physician, NPI 1013449065

CAROLINE HAVEN HUMPHREYS is a healthcare provider. based in Los angeles, California. specializing in EMERGENCY MEDICINE. They hold a License No. A160956 (CA). The NPI Number for CAROLINE HAVEN HUMPHREYS is 1013449065

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE HAVEN HUMPHREYS
NPI
1013449065
Phone
(310) 301-8707
Address
5767 W CENTURY BLVD STE 400
Enumeration Date
29 March 2017
Last Update Date
9 June 2021

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5103576500
Graduation Year
2017 (9 years ago)
PAC ID
0345658860
Group Practice PAC ID
3779494521
Professional Enrollment ID
I20210422001708
Address ID
CA945782611SA13855STXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for CAROLINE HAVEN HUMPHREYS

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-8707

    Type: Mailing

  • Ronald Reagan UCLA Medical Center, 757, Westwood Plaza, Westwood, Los Angeles, Los Angeles County, California, 90095, United States

    EMERGENCY MEDICINE

    LOS ANGELES, CA 900957419

    Phone: (310) 794-0785

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210422001708IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making100100$0
99284Emergency department visit with moderate level of medical decision making8075$0
99283Emergency department visit with low level of medical decision making3029$0
99282Emergency department visit with straightforward medical decision making1211$0
View full utilization report →

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779494521View full group profile
NameSpecialtyState
N E U R O L O G YMA
Diagnostic RadiologyCA
-CA
Emergency MedicineCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Certified Nurse Midwife (Cnm)CA

Reviews

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Frequently asked questions

Does CAROLINE HAVEN HUMPHREYS have a public NPI I can cite?
Public records show CAROLINE HAVEN HUMPHREYS under NPI 1013449065.
Is CAROLINE HAVEN HUMPHREYS currently accepting referrals based on NPI status?
Registry metadata lists CAROLINE HAVEN HUMPHREYS as active.
What does the directory say CAROLINE HAVEN HUMPHREYS does?
Insurance directories may phrase it differently, but here CAROLINE HAVEN HUMPHREYS maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is CAROLINE HAVEN HUMPHREYS tied to Los Angeles, California?
If you are local to Los Angeles, California, CAROLINE HAVEN HUMPHREYS may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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