Individual provider Active NPI

Jenna Pastorelli, MSN-FNP

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1164075289
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012242 Issued in CA
Practice address
1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone
(310) 319-3475
NPI assigned
Jul 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012242 CA Primary

Addresses

Primary practice location

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072

Mailing address

1753 9TH St Apt 203
Santa Monica, CA 90404-4332
Phone (949) 290-6947

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200122002279 CA Practitioner - Nurse Practitioner 6709211634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 1355249491, 43 clinicians

Practice addresses (Care Compare)

1131 Wilshire Blvd
Suite 100
Santa Monica, CA 90401-2072
Phone (424) 259-7000

300 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-5111

757 Westwood PLZ
Los Angeles, CA 90095-8358

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012242CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Dec 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2019 Accepting new patients
UC Regents Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 Stein Plz
Ste 420
Los Angeles, CA 90095
Phone (310) 267-2621

757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448

1131 Wilshire Blvd
Ste 100
Santa Monica, CA 90401
Phone (310) 458-2381

Interoperability endpoints

  • Direct secure messaging: jpastorelli621697@direct.uclahealth.org

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1164075289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 9TH ST APT 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904044332",
            "telephone_number": "949-290-6947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012072",
            "telephone_number": "310-319-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORELLI",
        "first_name": "JENNA",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.