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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

Social Worker (Clinical)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery (Vascular Surgery)
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
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Surgery
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164945598, enumerated as an "individual" on July 18, 2017.

The provider is located at 1520 SAN PABLO ST STE 4300 LOS ANGELES, CA 90033 and the phone number is (323) 865-1544.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.