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JESSICA KHANKHANIAN D.O.
NPI 1699162842
Pediatrics in Los Angeles, CA

Active since April 24, 2015PECOS Enrolled
150 N RENO ST, LOS ANGELES, CA 90026(213) 380-7298 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2021, Feb 25, 2020, Nov 4, 2019 (3 updates tracked since 2019).

About Jessica Khankhanian D.o. NPPES

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

JESSICA KHANKHANIAN D.O. (NPI 1699162842) is an individual pediatrics provider in Los Angeles, California, licensed in California (15117) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699162842
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA KHANKHANIANCredential: D.O.
Location Address150 N RENO STLos Angeles, CA 90026-4656
Mailing Address950 S Grand Ave Fl 2Los Angeles, CA 90015-3999 · (323) 669-4346 · Fax (323) 635-1891
Phone(213) 380-7298
Sole ProprietorNo
Enumeration DateApril 24, 2015
Last NPPES UpdateDecember 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2020
✔ NPI 1699162842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 15117
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.
150 N RENO ST, Los Angeles, CA 90026
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Khankhanian D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jessica Khankhanian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
1.9 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011
Permanente Medical Group Inc
307 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 90026 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.

GRACELIGHT COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
ALEXANDER DAVIS
Specialist
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
QUEENS CARE FAMILY CLINIC
Clinic/Center (Community Health)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
DR. KHANH NGUYEN M.D.
Family Medicine
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
MRS. GRETA DENISE GREEN CNP
Nurse Practitioner (Family)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
XIAO HUA CHEN
Nurse Practitioner (Family)
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
DR. MOE AUNG M.D.
Internal Medicine
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298
KATHERIN GARCIA
Case Manager/Care Coordinator
150 N RENO ST
LOS ANGELES, CA 90026
Los Angeles County (213) 380-7298

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 Khankhanian's NPI number?

The NPI number for Jessica Khankhanian is 1699162842. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Jessica Khankhanian located?

Jessica Khankhanian practices at 150 N Reno St, Los Angeles, CA 90026. The listed phone number is (213) 380-7298.

What is Jessica Khankhanian's specialty?

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

Is Jessica Khankhanian enrolled in Medicare?

Yes. Jessica Khankhanian is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Khankhanian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Khankhanian reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Permanente Medical Group Inc (Santa Clara, 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 Jessica Khankhanian'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 Jessica Khankhanian 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.