DR. JENNY MARIELLA JAQUE M.D.
NPI 1225206493
Obstetrics & Gynecology - Gynecology in Los Angeles, CA

Q: What is Jenny Jaque's NPI number?

The NPI number for Jenny Jaque is 1225206493. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Q: What is Jenny Jaque's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Jenny Jaque was last updated on November 1, 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.

Active since February 11, 2008PECOS Enrolled

1200 N STATE ST, LOS ANGELES, CA 90033(323) 226-2622 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Jenny Mariella Jaque M.d. NPPES

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

DR. JENNY MARIELLA JAQUE M.D. (NPI 1225206493) is an individual gynecology provider in Los Angeles, California, licensed in California (A96288) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225206493

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameDR. JENNY MARIELLA JAQUECredential: M.D.

Location Address1200 N STATE STLos Angeles, CA 90033-1029

Mailing Address657 Orange Grove Ave Apt CS Pasadena, CA 91030-2332 · (909) 709-4906

Phone(323) 226-2622

Sole ProprietorYes

Enumeration DateFebruary 11, 2008

Last NPPES UpdateNovember 1, 2021

NPPES CertifiedNovember 1, 2021

✔ NPI 1225206493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in CA · A96288

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1200 N STATE ST, Los Angeles, CA 90033

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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 (PECOS)

Dr. Jenny Mariella Jaque M.d. 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 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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 20

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

DR. LUCILLE CHAILLE

Orthopaedic Surgery

1200 N STATE ST
LOS ANGELES, CA 90033

Los Angeles County (323) 226-2170

DR. THIENDANG VIET NGUYEN M.D.

Anesthesiology

1200 N STATE ST, #14-901
LOS ANGELES, CA 90033

Los Angeles County (323) 409-7748

DR. PHIL ORALLO CASTILLO M.D.

Anesthesiology

1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033

Los Angeles County (323) 226-4597

NOA CARTER STERLING M.D.

Obstetrics & Gynecology

1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033

Los Angeles County (323) 409-8847

CHRYSTAL LYNNE JONES RCP

Respiratory Therapist, Certified (Critical Care)

1200 N STATE ST
LOS ANGELES, CA 90033

Los Angeles County (323) 409-1000

MAY SUNDONGMEI WU RESP THERAPIST

Respiratory Therapist, Registered (Critical Care)

1200 N STATE ST
LOS ANGELES, CA 90033

Los Angeles County (323) 409-1824

BRETT BARRO

Student in an Organized Health Care Education/Training Program

1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033

Los Angeles County (213) 705-5282

ALBERT CHEN MD

Student in an Organized Health Care Education/Training Program

1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

Los Angeles County (323) 442-7686

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 Jenny Jaque's NPI number?

The NPI number for Jenny Jaque is 1225206493. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Jenny Jaque located?

Jenny Jaque practices at 1200 N State St, Los Angeles, CA 90033. The listed phone number is (323) 226-2622.

What is Jenny Jaque's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Jenny Jaque enrolled in Medicare?

Yes. Jenny Jaque is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenny Jaque was last updated on November 1, 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.