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
- 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
- Code Navigator
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. | |||||||||
1 | 6 | 5 | 9 | 9 | 0 | 7 | 5 | 8 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 10 | 9 | 18 | 0 | 14 | 5 | 16 | |
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 = 2 | 2 |
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 |
---|---|---|---|
1225012776 | MS. NANCY DANZ SHEBEL MSN, RN, NP-C Individual | Nurse Practitioner (Family) | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-5951 |
1821034315 | USC SURGEONS, INC. Organization | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-5910 |
1295764447 | NIR WASSERBERG MD Individual | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-6811 |
1902837289 | TOM RYAN DEMEESTER MD Individual | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-5910 |
1376646349 | MS. SHARON KAY COCHRAN RPH Individual | Pharmacist | 1510 SAN PABLO ST SUITE #144 LOS ANGELES, CA 90033 (323) 442-5911 |
1124198015 | DR. LINDA MARIA GARCIA-SHELTON PH.D. Individual | Psychologist (Counseling) | 1510 SAN PABLO ST HCC-101 LOS ANGELES, CA 90033 (323) 442-5980 |
1790989572 | DR. ASHLEY J PFILE M.D. Individual | Family Medicine | 1510 SAN PABLO ST SUITE 104 LOS ANGELES, CA 90033 (323) 442-5900 |
1316142516 | USC FAMILY MEDICINE INC. Organization | Family Medicine | 1510 SAN PABLO ST LOS ANGELES, CA 90033 (323) 442-5900 |
1366621807 | JOHANNES BODNER M.D. Individual | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-5910 |
1942458229 | GEOFFREY P KOHN Individual | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-6793 |
1952634826 | DR. PHOTIS LOIZIDES M.D. Individual | Plastic Surgery | 1510 SAN PABLO ST ROOM 514 LOS ANGELES, CA 90033 (323) 442-7903 |
1669790812 | USC DEPARTMENT OF SURGERY Organization | Special Hospital | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-9058 |
1326158619 | HEATHER R MACDONALD M.D. Individual | Obstetrics & Gynecology | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 865-3000 |
1811216674 | JOERG ZEHETNER M.D. Individual | Surgery | 1510 SAN PABLO ST SUITE 514 LOS ANGELES, CA 90033 (323) 442-5910 |
1326327511 | FIONA L. MWANGALE N.P. Individual | Nurse Practitioner | 1510 SAN PABLO ST LOS ANGELES, CA 90033 (323) 442-5910 |
1669896502 | DR. CAMERON STEWART FRANCIS M.D. Individual | Plastic Surgery | 1510 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 |
1104206176 | UNIVERSITY OF SOUTHERN CALIFORNIA Organization | Skilled Nursing Facility | 1510 SAN PABLO ST HCC 600 LOS ANGELES, CA 90033 (323) 442-9775 |
1497106843 | KECK MEDICAL CENTER Organization | General Acute Care Hospital | 1510 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].
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