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JENNA LAVINA
NPI 1205011368
Internal Medicine in San Diego, CA

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE # MER35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Lavina NPPES

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

JENNA LAVINA (NPI 1205011368) is an individual internal medicine provider in San Diego, California, licensed in California (A97377) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (2005).

NPPES Registry Identity

NPI1205011368
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameJENNA LAVINA
Location Address4077 FIFTH AVE # MER35San Diego, CA 92103-2105
Mailing Address1270 Cleveland Ave Unit 229San Diego, CA 92103-7338
Phone(619) 260-7220
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2005
Enumeration DateJanuary 7, 2008
Last NPPES UpdateOctober 14, 2021
NPPES CertifiedOctober 14, 2021
✔ NPI 1205011368 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 · A97377
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.
4077 FIFTH AVE # MER35, San Diego, CA 92103
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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 and accepts Medicare assignment

Jenna Lavina 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 ID3375691223
PECOS Enrollment IDI20090501000436
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 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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. PRANAY RAG BONAGIRI DO
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
ANDY M CHAN DO
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
MARGARET CULVER MCDERMOTT MD
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 294-8111
KENNETH R STEVENS III
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (503) 998-0614
CODY MITCHELL DELANEY
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
DR. CHRISTINA MANSOUR MD
Internal Medicine
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
HAO PHUC NGUYEN D.O.
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (619) 260-7220
DR. KASE TAYLOR RATTEY DPM
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103
San Diego County (617) 435-7272

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 Jenna Lavina's NPI number?

The NPI number for Jenna Lavina is 1205011368. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Jenna Lavina located?

Jenna Lavina practices at 4077 Fifth Ave # Mer35, San Diego, CA 92103. The listed phone number is (619) 260-7220.

What is Jenna Lavina's specialty?

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

Is Jenna Lavina enrolled in Medicare?

Yes. Jenna Lavina 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.

When was this NPI record last updated?

The NPPES record for Jenna Lavina was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.