JACQUELINE OVSEPYAN
NPI 1639782501
Nurse Practitioner - Primary Care in Los Angeles, CA

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment
808 W 58TH ST FL 2, LOS ANGELES, CA 90037(323) 541-1600 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2021, Aug 28, 2020 (2 updates tracked since 2020).

About Jacqueline Ovsepyan NPPES

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

JACQUELINE OVSEPYAN (NPI 1639782501) is an individual primary care provider in Los Angeles, California, licensed in California (95016443) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639782501
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJACQUELINE OVSEPYAN
Location Address808 W 58TH ST FL 2Los Angeles, CA 90037-3632
Mailing Address808 W 58th St Fl 2Los Angeles, CA 90037-3632 · (323) 541-1600
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 28, 2020
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
✔ NPI 1639782501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95016443
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 833253 (CA)
808 W 58TH ST FL 2, Los Angeles, CA 90037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Ovsepyan 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 ID4385043371
PECOS Enrollment IDI20210524002796
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Jacqueline Ovsepyan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
808 W 58TH ST
Los Angeles, CA 90037
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
Family
511 N HOLLYWOOD WAY
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Family
2760 FLETCHER PKWY
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90037 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 2

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

Pediatrics
808 W 58TH ST FL 2
LOS ANGELES, CA 90037
Internal Medicine
808 W 58TH ST FL 2
LOS ANGELES, CA 90037

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 Jacqueline Ovsepyan's NPI number?

The NPI number for Jacqueline Ovsepyan is 1639782501. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Jacqueline Ovsepyan located?

Jacqueline Ovsepyan practices at 808 W 58th St Fl 2, Los Angeles, CA 90037. The listed phone number is (323) 541-1600.

What is Jacqueline Ovsepyan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jacqueline Ovsepyan enrolled in Medicare?

Yes. Jacqueline Ovsepyan 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.

Which organizations bill Medicare for Jacqueline Ovsepyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Ovsepyan reassigns Medicare benefits to 4 organizations: St. Johns Community Health (Los Angeles, CA), Minuteclinic Diagnostic Medical Group Of California Inc (Burbank, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA) and Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Ovsepyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Ovsepyan was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.