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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE HAYATA
NPI 1861071102
Physician Assistant in Los Angeles, CA

Active since April 05, 2021PECOS EnrolledAccepts Medicare Assignment
221 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 825-4073(310) 983-1172 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Hayata NPPES

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

JACQUELINE HAYATA (NPI 1861071102) is an individual physician assistant in Los Angeles, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861071102
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE HAYATA
Location Address221 WESTWOOD PLZLos Angeles, CA 90095-4103
Mailing Address960 S Oxford Ave Apt 223Los Angeles, CA 90006-6306 · (310) 622-5685
Phone(310) 825-4073
Fax(310) 983-1172
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 5, 2021
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1861071102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
221 WESTWOOD PLZ, Los Angeles, CA 90095
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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

Jacqueline Hayata 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 ID4789080870
PECOS Enrollment IDI20231018002906
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 90095 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

MRS. EVELYN ROMERO SHERRY LVN
Licensed Vocational Nurse
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7930
DIANA HIROTA O.D.
Optometrist
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-4772
DANA HO DNP, FNP-BC, NPD-BC
Nurse Practitioner (Family)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4073
NINA JREIGE
Internal Medicine
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4073
UCLA
Clinic/Center (Student Health)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4073
JULIANNE KRISTEN SODERGREN NP
Nurse Practitioner (Family)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4073
MARK THOMAS ACKERMAN MD
Internal Medicine
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-5555
DR. JOANN L SMITH MD
Obstetrics & Gynecology (Gynecology)
221 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 794-9001

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 Hayata's NPI number?

The NPI number for Jacqueline Hayata is 1861071102. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Jacqueline Hayata located?

Jacqueline Hayata practices at 221 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-4073.

What is Jacqueline Hayata's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacqueline Hayata enrolled in Medicare?

Yes. Jacqueline Hayata 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 Jacqueline Hayata was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.