KAREN JACOBS PA-C
NPI 1609272335
Physician Assistant - Medical in Los Angeles, CA

Active since November 06, 2014Opted out of Medicare · through Sep 5, 2027
955 CARRILLO DR STE 108, LOS ANGELES, CA 90048(323) 651-4454 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Jacobs Pa-c NPPES

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

KAREN JACOBS PA-C (NPI 1609272335) is an individual medical provider in Los Angeles, California, licensed in California (PA-16502) and active in the NPI registry since November 2014. She has opted out of Medicare through September 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1609272335
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKAREN JACOBSCredential: PA-C
Location Address955 CARRILLO DR STE 108Los Angeles, CA 90048-5400
Mailing Address3201 Cardiff AveLos Angeles, CA 90034-2811 · (917) 449-3478
Sole ProprietorNo
Enumeration DateNovember 6, 2014
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
NPI 1609272335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA-16502
955 CARRILLO DR STE 108, Los Angeles, CA 90048

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Karen Jacobs Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 5, 2023 through September 5, 2027.

Opt-Out Effective DateSeptember 5, 2023
Opt-Out In Effect ThroughSeptember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Family Medicine
955 CARRILLO DR STE 108
LOS ANGELES, CA 90048

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 Karen Jacobs's NPI number?

The NPI number for Karen Jacobs is 1609272335. It was assigned to this individual provider in the NPPES registry on November 6, 2014.

Where is Karen Jacobs located?

Karen Jacobs practices at 955 Carrillo Dr Ste 108, Los Angeles, CA 90048. The listed phone number is (323) 651-4454.

What is Karen Jacobs's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Karen Jacobs enrolled in Medicare?

No. Karen Jacobs has opted out of Medicare through September 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karen Jacobs was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.