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JESSICA TABARES
NPI 1659921641
Nurse Practitioner - Family in Los Angeles, CA

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 234-0616 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Mar 13, 2021, Sep 12, 2019 (3 updates tracked since 2019).

About Jessica Tabares NPPES

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

JESSICA TABARES (NPI 1659921641) is an individual family provider in Los Angeles, California, licensed in California (768369) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1659921641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA TABARES
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address4211 Avalon BlvdLos Angeles, CA 90011-5622 · (323) 234-0616
Phone(323) 234-0616
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 12, 2019
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedMarch 13, 2021
✔ NPI 1659921641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 768369
Also ListedNurse PractitionerTaxonomy 363L00000X · License 768369 (CA)
4211 AVALON BLVD, Los Angeles, CA 90011
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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

Jessica Tabares 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 ID4385051150
PECOS Enrollment IDI20211202001941
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 90011 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.

ANGEL MARTIN
Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5185
MICHELLE OUATTARA
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 432-5080
ALEXANDER JERROD BLACK ACSW
Social Worker (Clinical)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
BRIANNA FONSECA
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
JESSE VELAZQUEZ
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. KIERSTEN TAYLOR PHARMD
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
NNEKA PATRICIA NJOKU
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 233-0425
DR. YVORN ASWAD MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Los Angeles County (323) 582-2251

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 Tabares's NPI number?

The NPI number for Jessica Tabares is 1659921641. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Jessica Tabares located?

Jessica Tabares practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 234-0616.

What is Jessica Tabares's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Tabares enrolled in Medicare?

Yes. Jessica Tabares 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 Tabares was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.