KEZIA ANNE MONTILLA JUSAYAN
NPI 1942155049
Nurse Practitioner - Family in Santa Clarita, CA

Q: What is Kezia Anne Jusayan's NPI number?

The NPI number for Kezia Anne Jusayan is 1942155049. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Q: What is Kezia Anne Jusayan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since March 03, 2026PECOS Enrolled

27875 SMYTH DR STE 101, SANTA CLARITA, CA 91355(661) 702-1440 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 20, 2026, Mar 3, 2026 (2 updates tracked since 2026).

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About Kezia Anne Montilla Jusayan NPPES

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

KEZIA ANNE MONTILLA JUSAYAN (NPI 1942155049) is an individual family provider in Santa Clarita, California, licensed in California (95038781) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1942155049

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEZIA ANNE MONTILLA JUSAYAN

Location Address27875 SMYTH DR STE 101Santa Clarita, CA 91355-6064

Mailing Address27875 Smyth Dr Ste 101Valencia, CA 91355-6064 · (747) 266-9904

Phone(661) 702-1440

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 3, 2026

Last NPPES UpdateApril 20, 20262 updates tracked since enumeration

NPPES CertifiedApril 20, 2026

✔ NPI 1942155049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95038781

27875 SMYTH DR STE 101, Santa Clarita, CA 91355

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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 (PECOS)

Kezia Anne Montilla Jusayan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850861147

PECOS Enrollment IDI20260528000605

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 91355 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 5

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

JADRAN DYCHIOCO NP-C

Nurse Practitioner (Family)