Jennifer Rae Levitt Physician Assistant, Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JENNIFER RAE LEVITT PHYSICIAN ASSISTANT, INC

Practice address

1439 N Highland Ave Ste 1059
Los Angeles, CA 90028-7622

Phone

(323) 289-8900

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer R Kosova, PANPI 1083636203

Title

Founder

Phone

(323) 289-8900

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer R Kosova, PAC

  • Physician Assistant
  • Santa Monica, CA
  • NPI 1083636203
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1235737172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 HOLLYWOOD BLVD UNIT 5A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285331",
            "telephone_number": "214-455-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 N HIGHLAND AVE STE 1059",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287622",
            "telephone_number": "323-289-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RAE LEVITT PHYSICIAN ASSISTANT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "KOSOVA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "323-289-8900",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LosAngeles",
            "affiliation": "N",
            "endpointDescription": "KareoEMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6250 Hollywood Blvd Unit 5A",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900285331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.