JESSICA A MARINE
NPI 1891556353
Physician Assistant in Los Angeles, CA

Active since January 22, 2024PECOS Enrolled
607 S ATLANTIC BLVD, LOS ANGELES, CA 90022(323) 268-9191 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica A Marine NPPES

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

JESSICA A MARINE (NPI 1891556353) is an individual physician assistant in Los Angeles, California and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891556353
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA A MARINE
Location Address607 S ATLANTIC BLVDLos Angeles, CA 90022-3211
Mailing Address607 S Atlantic BlvdLos Angeles, CA 90022-3211 · (323) 268-9191 · Fax (323) 268-9119
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 22, 2024
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1891556353 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.

607 S ATLANTIC BLVD, Los Angeles, CA 90022

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica A Marine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577097815
PECOS Enrollment IDI20241110000016
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 90022 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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
607 S ATLANTIC BLVD
EAST LOS ANGELES, CA 90022
Licensed Vocational Nurse
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Licensed Vocational Nurse
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Registered Nurse
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Nurse Practitioner (Family)
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Chiropractor
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Physician Assistant
607 S ATLANTIC BLVD
LOS ANGELES, CA 90022
Nurse Practitioner (Family)
607 S ATLANTIC BLVD
EAST LOS ANGELES, CA 90022

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 Marine's NPI number?

The NPI number for Jessica Marine is 1891556353. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Jessica Marine located?

Jessica Marine practices at 607 S Atlantic Blvd, Los Angeles, CA 90022. The listed phone number is (323) 268-9191.

What is Jessica Marine's specialty?

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

Is Jessica Marine enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Marine was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.