Jennifer R Kosova, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20131 Issued in CA

Practice address

1328 22ND Street
ER
Santa Monica, CA 90404

Phone

(214) 455-5366

NPI assigned

Jul 24, 2006

Last updated

Sep 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jennifer R Levitt Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer Rae Levitt Physician Assistant, Inc

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1235737172
  NPD Authorized official
• Burbank Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Burbank, CA
  • NPI 1689636730
  Medicare reassignment
• Ridgeline Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1972953230
  Medicare reassignment
• Saint Johns Emergency Medicine Specialists Inc a Medical Group

  • Emergency Medicine Physician
  • Santa Monica, CA
  • NPI 1609888940
  Medicare reassignment
• Victory Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1932402716
  Medicare reassignment
• Petrel Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1154734663
  NPD (past)
• Dallas Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1457301756
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1083636203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 N HIGHLAND AVE STE 1059",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287622",
            "telephone_number": "214-455-5366",
            "fax_number": "323-336-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 22ND STREET",
            "address_2": "ER",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "214-455-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVA",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02208",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "LEVITT",
            "middle_name": "R",
            "credential": "PAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Koshki, DDS
• Joshua A Koshki, DDS
• Moeiz Koshki, DDS
• Lydia Amanda Kosinar, MA, LMFT
• Rebecca Koski, MA, LMFT #88826
• Stephanie Koss
• Rajitha Kota, MD
• Jeffrey Michael Kotsubo, D.D.S.
• Arthur L Kovacs, PHD
• Helen Marie Kovacs, MA, MFT

• Physician Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.