JACQUELYN KAUILANI PAIGE NP
NPI 1164945598
Nurse Practitioner - Acute Care in Los Angeles, CA

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033(323) 865-1544(323) 442-5735 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2020, Mar 17, 2018, Oct 17, 2017 and 1 more (4 updates tracked since 2017).

About Jacquelyn Kauilani Paige Np NPPES

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

JACQUELYN KAUILANI PAIGE NP (NPI 1164945598) is an individual acute care provider in Los Angeles, California, licensed in California (NP95006975) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1164945598
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJACQUELYN KAUILANI PAIGECredential: NP
Location Address1520 SAN PABLO ST STE 4300Los Angeles, CA 90033-5330
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5849
Fax(323) 442-5735
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 18, 2017
Last NPPES UpdateAugust 19, 20204 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1164945598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in CA · NP95006975✔ Licensed in CA · 95006975
1520 SAN PABLO ST STE 4300, Los Angeles, CA 90033

Secondary Practice Location 1

Location 11500 San Pablo StLos Angeles, CA 90033-5313 · Phone (323) 442-8500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Kauilani Paige Np 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 ID6002181658
PECOS Enrollment IDI20171006001404
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacquelyn Paige reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$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
$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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Physician Assistant (Surgical)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Dietitian, Registered
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery (Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033

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 Jacquelyn Paige's NPI number?

The NPI number for Jacquelyn Paige is 1164945598. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Jacquelyn Paige located?

Jacquelyn Paige practices at 1520 San Pablo St Ste 4300, Los Angeles, CA 90033. The listed phone number is (323) 865-1544.

What is Jacquelyn Paige's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacquelyn Paige enrolled in Medicare?

Yes. Jacquelyn Paige 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.

Which organization bills Medicare for Jacquelyn Paige's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Paige reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Paige's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacquelyn Paige was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.