ANNA JACKANICH MD
NPI 1659907582
Emergency Medicine in Los Angeles, CA

NPI Status: Active since March 23, 2020

Contact Information

1510 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 276-3707

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  • Individual
  • Female
  • Years of Experience 6
  • Emergency Medicine
  • Accepts Medicare Approved Payment

About ANNA JACKANICH

This page provides the complete NPI Profile along with additional information for Anna Jackanich, a provider established in Los Angeles, California with a medical specialization in Emergency Medicine and more than 6 years of experience. She graduated from University Of Southern California Keck School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1659907582 assigned on March 2020. The practitioner's primary taxonomy code is 207P00000X with license number A179454 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1659907582
Provider Name
ANNA JACKANICH MD
Gender
Female
Entity Type
Individual
Location Address
1510 SAN PABLO ST LOS ANGELES, CA 90033
Location Phone
(323) 276-3707
Mailing Address
5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
03-23-2020
Last Update Date
01-30-2025
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Location Map

Secondary Locations

  • 757 Westwood Plz Ste 1517
    Los Angeles, CA 90095
    (310) 794-0599

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
A179454
License State
CA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Medicare Participation & PECOS Enrollment Status

Anna Jackanich is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 9234524067

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240717000647

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659907582
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610918014516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 1 + 8 + 0 + 1 + 4 + 5 + 1 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1659907582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225012776MS. NANCY DANZ SHEBEL MSN, RN, NP-C
Individual
Nurse Practitioner (Family)1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-5951
1821034315USC SURGEONS, INC.
Organization
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-5910
1295764447 NIR WASSERBERG MD
Individual
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-6811
1902837289 TOM RYAN DEMEESTER MD
Individual
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-5910
1376646349MS. SHARON KAY COCHRAN RPH
Individual
Pharmacist1510 SAN PABLO ST SUITE #144
LOS ANGELES, CA 90033
(323) 442-5911
1124198015DR. LINDA MARIA GARCIA-SHELTON PH.D.
Individual
Psychologist (Counseling)1510 SAN PABLO ST HCC-101
LOS ANGELES, CA 90033
(323) 442-5980
1790989572DR. ASHLEY J PFILE M.D.
Individual
Family Medicine1510 SAN PABLO ST SUITE 104
LOS ANGELES, CA 90033
(323) 442-5900
1316142516USC FAMILY MEDICINE INC.
Organization
Family Medicine1510 SAN PABLO ST
LOS ANGELES, CA 90033
(323) 442-5900
1366621807 JOHANNES BODNER M.D.
Individual
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-5910
1942458229 GEOFFREY P KOHN
Individual
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-6793
1952634826DR. PHOTIS LOIZIDES M.D.
Individual
Plastic Surgery1510 SAN PABLO ST ROOM 514
LOS ANGELES, CA 90033
(323) 442-7903
1669790812USC DEPARTMENT OF SURGERY
Organization
Special Hospital1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-9058
1326158619 HEATHER R MACDONALD M.D.
Individual
Obstetrics & Gynecology1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 865-3000
1811216674 JOERG ZEHETNER M.D.
Individual
Surgery1510 SAN PABLO ST SUITE 514
LOS ANGELES, CA 90033
(323) 442-5910
1326327511 FIONA L. MWANGALE N.P.
Individual
Nurse Practitioner1510 SAN PABLO ST
LOS ANGELES, CA 90033
(323) 442-5910
1669896502DR. CAMERON STEWART FRANCIS M.D.
Individual
Plastic Surgery1510 SAN PABLO ST SUITE 415
LOS ANGELES, CA 90033
(323) 442-7903
1518371681 MARY CATHERINE FISHER LCSW
Individual
Social Worker (Clinical)1510 SAN PABLO ST SUITE 200
LOS ANGELES, CA 90033
(323) 442-9631
1770960221 SUSANA DAHDUL LCSW
Individual
Social Worker (Clinical)1510 SAN PABLO ST HCC 200
LOS ANGELES, CA 90033
(323) 442-9627
1104206176UNIVERSITY OF SOUTHERN CALIFORNIA
Organization
Skilled Nursing Facility1510 SAN PABLO ST HCC 600
LOS ANGELES, CA 90033
(323) 442-9775
1497106843KECK MEDICAL CENTER
Organization
General Acute Care Hospital1510 SAN PABLO ST SUITE 322
LOS ANGELES, CA 90033
(323) 442-7419

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659907582, enumerated in the NPI registry as an "individual" on March 23, 2020

The provider is located at 1510 San Pablo St Los Angeles, Ca 90033 and the phone number is (323) 276-3707

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 6 years of experience. She graduated from University Of Southern California Keck School Of Medicine in 2020.

This NPI record was last updated on March 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.