JENNIFER HUDDLESTON PA
NPI 1962568865
Physician Assistant - Medical in Los Angeles, CA

Active since December 28, 2006PECOS Enrolled
1300 N VERMONT AVE, SUITE 707, LOS ANGELES, CA 90027(323) 913-4560(323) 913-4570 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Huddleston Pa NPPES

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

JENNIFER HUDDLESTON PA (NPI 1962568865) is an individual medical provider in Los Angeles, California, licensed in California (15171) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962568865
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER HUDDLESTONCredential: PA
Location Address1300 N VERMONT AVE, SUITE 707Los Angeles, CA 90027-6005
Mailing Address1300 N Vermont Ave, Suite 707Los Angeles, CA 90027-6005 · (323) 913-4560 · Fax (323) 913-4570
Fax(323) 913-4570
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJanuary 8, 2016
NPI 1962568865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 15171
Also ListedPhysician AssistantTaxonomy 363A00000X · License 15171 (CA)
1300 N VERMONT AVE, Los Angeles, CA 90027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Huddleston Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Physician Assistant (Surgical)
1300 N VERMONT AVE, #1006
LOS ANGELES, CA 90027
Pediatrics
1300 N VERMONT AVE, SUITE 901
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Surgery
1300 N VERMONT AVE, #704
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Emergency Medicine
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER
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 Jennifer Huddleston's NPI number?

The NPI number for Jennifer Huddleston is 1962568865. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Jennifer Huddleston located?

Jennifer Huddleston practices at 1300 N Vermont Ave Suite 707, Los Angeles, CA 90027. The listed phone number is (323) 913-4560.

What is Jennifer Huddleston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Huddleston enrolled in Medicare?

Yes. Jennifer Huddleston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Huddleston was last updated on January 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.