JESSICA LYNN PERNICIARO M.D.
NPI 1619136496
Pediatrics in Los Angeles, CA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD, MAILSTOP 113, LOS ANGELES, CA 90027(323) 361-2109 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Lynn Perniciaro M.d. NPPES

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

JESSICA LYNN PERNICIARO M.D. (NPI 1619136496) is an individual pediatrics provider in Los Angeles, California, licensed in California (A135530) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2008).

NPPES Registry Identity

NPI1619136496
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA LYNN PERNICIAROCredential: M.D.
Location Address4650 W SUNSET BLVD, MAILSTOP 113Los Angeles, CA 90027
Mailing Address4650 W Sunset Blvd, Mailstop 113Los Angeles, CA 90027-6062 · (323) 361-2109
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2008
Enumeration DateJune 5, 2008
Last NPPES UpdateSeptember 10, 2018
NPI 1619136496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CA · A135530 Licensed in MD · D0075578 Licensed in NY · 261603
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4650 W SUNSET BLVD, Los Angeles, CA 90027

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

Jessica Lynn Perniciaro M.d. 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 ID941478432
PECOS Enrollment IDI20151013000671
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 90027 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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Jessica Perniciaro's NPI number?

The NPI number for Jessica Perniciaro is 1619136496. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Jessica Perniciaro located?

Jessica Perniciaro practices at 4650 W Sunset Blvd Mailstop 113, Los Angeles, CA 90027. The listed phone number is (323) 361-2109.

What is Jessica Perniciaro's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Perniciaro enrolled in Medicare?

Yes. Jessica Perniciaro 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 Jessica Perniciaro was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.