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ANNA JACKANICH MD
NPI 1659907582
Emergency Medicine in Los Angeles, CA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
1510 SAN PABLO ST, LOS ANGELES, CA 90033(323) 276-3707 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2024, Apr 14, 2021, Mar 23, 2020 (3 updates tracked since 2020).

About Anna Jackanich Md NPPES

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

ANNA JACKANICH MD (NPI 1659907582) is an individual emergency medicine provider in Los Angeles, California, licensed in California (A179454) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2020).

NPPES Registry Identity

NPI1659907582
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameANNA JACKANICHCredential: MD
Location Address1510 SAN PABLO STLos Angeles, CA 90033-5320
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(323) 276-3707
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
✔ NPI 1659907582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A179454
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1510 SAN PABLO 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 and accepts Medicare assignment

Anna Jackanich Md 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 ID9234524067
PECOS Enrollment IDI20240717000647
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
140 services137 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
103 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
21 services20 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
13 services13 patients

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
$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.

DR. KAUSHAL RAMESH PATEL MD
Surgery
1510 SAN PABLO ST, SUITE 514
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5988
MARIA PALOMA MORENO VALENCIA REGISTERED NURSE
Registered Nurse (Ambulatory Care)
1510 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (970) 823-0382
MS. LEEANNE SHINN RN
Registered Nurse (Ambulatory Care)
1510 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9027
UNIVERSITY OF SOUTHERN CALIFORNIA
Skilled Nursing Facility
1510 SAN PABLO ST, HCC 600
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9775
DR. SYLVIA YOLANDA RODRIGUEZ PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1510 SAN PABLO ST, SUITE 144
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5770
DR. LINDA MARIA GARCIA-SHELTON PH.D.
Psychologist (Counseling)
1510 SAN PABLO ST, HCC-101
LOS ANGELES, CA 90033
Los Angeles County (323) 442-5980
GRACELYN ROSE MONTALES CALAGUAS NP
Nurse Practitioner (Family)
1510 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (626) 457-6601
KAVISHA NAYOMALY CARRILLO PA
Physician Assistant
1510 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (626) 457-6601

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 Anna Jackanich's NPI number?

The NPI number for Anna Jackanich is 1659907582. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Anna Jackanich located?

Anna Jackanich practices at 1510 San Pablo St, Los Angeles, CA 90033. The listed phone number is (323) 276-3707.

What is Anna Jackanich's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Anna Jackanich enrolled in Medicare?

Yes. Anna Jackanich 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 Anna Jackanich was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.