EVELYN DIANNA JANKOWSKI MD
NPI 1083604755
Dermatology in Granada Hills, CA

Active since October 25, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0713793 · Certificate of Compliance
75/100
CMS Quality Rating
10316 WOODLEY AVE, GRANADA HILLS, CA 91344(818) 368-5651(818) 363-4770 Get Directions Write a Review

NPPES record last updated: June 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evelyn Dianna Jankowski Md NPPES

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

EVELYN DIANNA JANKOWSKI MD (NPI 1083604755) is an individual dermatology provider in Granada Hills, California, licensed in California (G032630) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through September 13, 2027, and is a graduate of University Of Southern California Keck School Of Medicine (1975).

NPPES Registry Identity

NPI1083604755
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameEVELYN DIANNA JANKOWSKICredential: MD
Location Address10316 WOODLEY AVEGranada Hills, CA 91344-6916
Mailing Address10316 Woodley AveGranada Hills, CA 91344-6916 · (818) 368-5651 · Fax (818) 363-4770
Fax(818) 363-4770
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1975
Enumeration DateOctober 25, 2005
Last NPPES UpdateJune 22, 2010
NPI 1083604755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · G032630
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
10316 WOODLEY AVE, Granada Hills, CA 91344

Other Identifiers 2

Medicare ID-Type UnspecifiedW14505
Medicare UPINA45222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Evelyn Dianna Jankowski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971785080
PECOS Enrollment IDI20120113000244
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0713793

Evelyn Jankowski MD · Granada Hills, CA
Active · expires Sep 13, 2027
CLIA Number05D0713793
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorEvelyn D. Jankowski
Laboratory Phone(818) 368-5651
Laboratory LocationEvelyn Jankowski MD10316 Woodley Ave, Granada Hills, CA 91344
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,335 services341 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
2,273 services796 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
697 services413 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
573 services312 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
543 services291 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
255 services144 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91344 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 5

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

Physician Assistant
10316 WOODLEY AVE
GRANADA HILLS, CA 91344
Physician Assistant
10316 WOODLEY AVE
GRANADA HILLS, CA 91344
Nurse Practitioner
10316 WOODLEY AVE
GRANADA HILLS, CA 91344
Physician Assistant (Medical)
10316 WOODLEY AVE
GRANADA HILLS, CA 91344
Dermatology
10316 WOODLEY AVE
GRANADA HILLS, CA 91344

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 Evelyn Jankowski's NPI number?

The NPI number for Evelyn Jankowski is 1083604755. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Evelyn Jankowski located?

Evelyn Jankowski practices at 10316 Woodley Ave, Granada Hills, CA 91344. The listed phone number is (818) 368-5651.

What is Evelyn Jankowski's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Evelyn Jankowski enrolled in Medicare?

Yes. Evelyn Jankowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Evelyn Jankowski hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0713793) is associated with this NPI, valid through September 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evelyn Jankowski was last updated on June 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.