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

Q: What is the provider's specialty?

The provider's specialty is Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

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: July 19, 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.