JENNA DAHM NP-C
NPI 1962970939
Nurse Practitioner - Acute Care in Los Angeles, CA

Q: What is Jenna Dahm's NPI number?

The NPI number for Jenna Dahm is 1962970939. It was assigned to this individual provider in the NPPES registry on November 8, 2018. The provider is also known as Jennifer Shumiloff Agacnp.

Q: What is Jenna Dahm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Dahm was last updated on January 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2018PECOS Enrolled

1500 SAN PABLO ST, LOS ANGELES, CA 90033(800) 872-2273 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 2, 2024, Oct 9, 2023, Feb 24, 2021 and 2 more (5 updates tracked since 2018).

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About Jenna Dahm Np-c NPPES

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

JENNA DAHM NP-C (NPI 1962970939) is an individual acute care provider in Los Angeles, California, licensed in California (95027614) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962970939

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNA DAHMCredential: NP-C

Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313

Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 442-5100

Phone(800) 872-2273

Sole ProprietorNo

Enumeration DateNovember 8, 2018

Last NPPES UpdateJanuary 2, 20245 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2024

✔ NPI 1962970939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in CA · 95027614✔ Licensed in OH · 024214

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 412369 (OH)

1500 SAN PABLO ST, Los Angeles, CA 90033

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Other Names 1

Former Name (1)Jennifer Shumiloff Agacnp

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Dahm Np-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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.

CHIUSHEUE SHERRY PENG NURSE PRACTITIONER

Nurse Practitioner

1500 SAN PABLO ST, CARDIACTHORACIC SUGERY UNIT
LOS ANGELES, CA 90033

Los Angeles County (323) 442-8869

KELLY M JAEGER ATC

Specialist/Technologist (Athletic Trainer)

1500 SAN PABLO ST, SPORTS MEDICINE DEPARTMENT
LOS ANGELES, CA 90033

Los Angeles County (323) 442-5338

ANTHONY GONZALES ATC

Specialist/Technologist (Athletic Trainer)

1500 SAN PABLO ST
LOS ANGELES, CA 90033

Los Angeles County (323) 442-5226

FATIMA CABRAL RD

Dietitian, Registered

1500 SAN PABLO ST
LOS ANGELES, CA 90033

Los Angeles County (323) 442-8443

CORTNEY L MONTGOMERY RD

Dietitian, Registered

1500 SAN PABLO ST
LOS ANGELES, CA 90033

Los Angeles County (323) 442-8443

PARIZA RAHMAN M.D.

Anesthesiology