Jenna Nagata Nakagawa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21419 Issued in CA

Practice address

300 Corporate Pointe Ste 465
Culver City, CA 90230-8706

Phone

(323) 203-0070

Fax

(310) 561-1902

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Adobe PH Ca Medical Group, P.C.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1427889195
  Medicare reassignment NPD
• Medzed Physician Services, Inc.

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1366807760
  Medicare reassignment
• Medzed Physician Services, Inc.

  • Case Management Agency
  • Culver City, CA
  • NPI 1801547179
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  NPD (past)
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1083913180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 FENN ST.",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "626-278-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE POINTE STE 465",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902308706",
            "telephone_number": "323-203-0070",
            "fax_number": "310-561-1902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Bastanchury Rd",
            "address_2": "Suite 175",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928353419",
            "country_code": "US",
            "telephone_number": "714-738-5525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 E Gladstone St",
            "address_purpose": "LOCATION",
            "city": "Azusa",
            "state": "CA",
            "postal_code": "91702",
            "country_code": "US",
            "telephone_number": "626-966-4506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "JENNA",
        "middle_name": "NAGATA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Janet Nagel
• Ruby Michelle Nahas
• Jessica Estela Najarro
• Marie Najera
• Jason H Nakagawa, O.D
• Kay Nakamura, DDS
• Jillianne Nanadiego, DO
• Amy Joanne Nannan
• Nant Health LLC
• Nanthealth Labs, Inc

• Physician Assistant in Culver City, CA
• Providers in Culver City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.