JAN MATTHEW RAVINA ANGELES NP
NPI 1942989801
Nurse Practitioner in Van Nuys, CA

Q: What is Jan Matthew Angeles's NPI number?

The NPI number for Jan Matthew Angeles is 1942989801. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Q: What is Jan Matthew Angeles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 17, 2023PECOS EnrolledAccepts Medicare Assignment

6815 NOBLE AVE, VAN NUYS, CA 91405(818) 901-6600 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Apr 6, 2024, Jul 18, 2023 (3 updates tracked since 2023).

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About Jan Matthew Ravina Angeles Np NPPES

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

JAN MATTHEW RAVINA ANGELES NP (NPI 1942989801) is an individual nurse practitioner in Van Nuys, California, licensed in California (95025746) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942989801

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameJAN MATTHEW RAVINA ANGELESCredential: NP

Location Address6815 NOBLE AVEVan Nuys, CA 91405-3796

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(818) 901-6600

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 17, 2023

Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1942989801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95025746

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6815 NOBLE AVE, Van Nuys, CA 91405

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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

Jan Matthew Ravina Angeles Np 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 ID8123534112

PECOS Enrollment IDI20250717002716

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 91405 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 20

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

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