Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse Ann Soodalter, MD

Individual provider Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1366671711

Jesse Ann Soodalter, MD is a Hospice/Palliative Care in Los Angeles, California. Graduated from Warren Alpert Medical School of Brown University in 2009, 17 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Georgia.

Years since qualifying
17
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CA, GA
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone: (323) 442-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence C196957 (CA)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 83281 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 83281 (GA)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence 83281 (GA)

Record details

NPI number1366671711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPICE/PALLIATIVE CARE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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