MS. JILL JUDE DEHARO PA-C
NPI 1912190638
Physician Assistant in Los Angeles, CA
About Ms. Jill Jude Deharo Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JILL JUDE DEHARO PA-C (NPI 1912190638) is an individual physician assistant in Los Angeles, California, licensed in California (21360) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Ms. Jill Jude Deharo Pa-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
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 Jill Deharo's NPI number?
The NPI number for Jill Deharo is 1912190638. It was assigned to this individual provider in the NPPES registry on August 27, 2007.
Where is Jill Deharo located?
Jill Deharo practices at 4760 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (310) 729-2465.
What is Jill Deharo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jill Deharo enrolled in Medicare?
Yes. Jill Deharo 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 Jill Deharo was last updated on March 25, 2022. 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.
# Ms. Jill Jude Deharo, PA-C · NPI 1912190638
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since August 27, 2007.
## Identity
- **NPI:** 1912190638 (Entity type: Individual)
- **Enumerated:** August 27, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 21360 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4760 W SUNSET BLVD, Los Angeles, CA 90027-6063
- **Phone:** (310) 729-2465
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912190638) · Data from the CMS NPPES public registry.