JACK WESLEY MORROW P.A.
NPI 1699803494
Physician Assistant - Surgical in Los Angeles, CA
About Jack Wesley Morrow P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK WESLEY MORROW P.A. (NPI 1699803494) is an individual surgical provider in Los Angeles, California, licensed in California (PA16293) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Wesley Morrow P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Jack Morrow's NPI number?
The NPI number for Jack Morrow is 1699803494. It was assigned to this individual provider in the NPPES registry on March 1, 2007.
Where is Jack Morrow located?
Jack Morrow practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 319-1234.
What is Jack Morrow's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jack Morrow enrolled in Medicare?
Yes. Jack Morrow is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack Morrow was last updated on April 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jack Wesley Morrow, P.A. · NPI 1699803494
Surgical physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 1, 2007.
## Identity
- **NPI:** 1699803494 (Entity type: Individual)
- **Enumerated:** March 1, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA16293 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, Los Angeles, CA 90095-3075
- **Phone:** (310) 319-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 4, 2011
- **Other identifiers:** Medicare PIN WPA1629B (CA); Medicaid 0PA162930 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1699803494) · Data from the CMS NPPES public registry.