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JENNIFER R KOSOVA PAC
NPI 1083636203
Physician Assistant in Santa Monica, CA

Active since July 24, 2006PECOS Enrolled
1328 22ND STREET, ER, SANTA MONICA, CA 90404(214) 455-5366 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2020, Jul 27, 2018, Jun 14, 2018 and 1 more (4 updates tracked since 2016).

About Jennifer R Kosova Pac NPPES

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

JENNIFER R KOSOVA PAC (NPI 1083636203) is an individual physician assistant in Santa Monica, California, licensed in California (PA20131) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083636203
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER R KOSOVACredential: PAC
Location Address1328 22ND STREET, ERSanta Monica, CA 90404
Mailing Address1439 N Highland Ave Ste 1059Los Angeles, CA 90028-7622 · (214) 455-5366 · Fax (323) 336-8769
Phone(214) 455-5366
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 18, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1083636203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA20131✔ Licensed in TX · PA02208
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1328 22ND STREET, Santa Monica, CA 90404
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Other Names 1

Professional Name (2)Jennifer R Levitt Pac

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer R Kosova Pac 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 90404 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.

Other Providers at the Same Location NPPES 4

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

DR. MANUEL R ESTIOKO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1328 22ND STREET, SAINT JOHNS HEALTH CENTER
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8618
MRS. PATRICIA ANN DRUM-LAL PAC
Emergency Medicine
1328 22ND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
RUSS KINO MD
Emergency Medicine
1328 22ND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089
JILL T CARATAN PAC
Physician Assistant
1328 22ND STREET
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7089

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 Jennifer Kosova's NPI number?

The NPI number for Jennifer Kosova is 1083636203. It was assigned to this individual provider in the NPPES registry on July 24, 2006. The provider is also known as Jennifer R Levitt Pac.

Where is Jennifer Kosova located?

Jennifer Kosova practices at 1328 22nd Street ER, Santa Monica, CA 90404. The listed phone number is (214) 455-5366.

What is Jennifer Kosova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Kosova enrolled in Medicare?

Yes. Jennifer Kosova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Kosova was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.