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JACQUELINE CERVANTES MD
NPI 1073073441
Internal Medicine in Los Angeles, CA

Active since March 22, 2019PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90033(323) 409-2324 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2023, Mar 22, 2019 (2 updates tracked since 2019).

About Jacqueline Cervantes Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE CERVANTES MD (NPI 1073073441) is an individual internal medicine provider in Los Angeles, California, licensed in California (A181684) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073073441
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJACQUELINE CERVANTESCredential: MD
Location Address1200 N STATE STLos Angeles, CA 90033-1029
Mailing Address1200 N State St # A6eLos Angeles, CA 90089-1001
Phone(323) 409-2324
Sole ProprietorYes
Enumeration DateMarch 22, 2019
Last NPPES UpdateOctober 17, 20232 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1073073441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A181684
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 N STATE ST, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Cervantes Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LUCILLE CHAILLE
Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 226-2170
DR. THIENDANG VIET NGUYEN M.D.
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7748
DR. PHIL ORALLO CASTILLO M.D.
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Los Angeles County (323) 226-4597
NOA CARTER STERLING M.D.
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8847
CHRYSTAL LYNNE JONES RCP
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1000
MAY SUNDONGMEI WU RESP THERAPIST
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-1824
BRETT BARRO
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (213) 705-5282
ALBERT CHEN MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Cervantes's NPI number?

The NPI number for Jacqueline Cervantes is 1073073441. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Jacqueline Cervantes located?

Jacqueline Cervantes practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 409-2324.

What is Jacqueline Cervantes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacqueline Cervantes enrolled in Medicare?

Yes. Jacqueline Cervantes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Cervantes was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.