JASON JUSTIN (PA-C) – Physician Assistant, NPI 1265967079
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for JASON JUSTIN (PA-C)
434 S San Vicente Blvd # 100
Los Angeles, CA 900484108
Phone: (310) 360-6780
Type: Location
34 Mark West Springs Rd
Santa Rosa, CA 954031766
Phone: (707) 546-1922
Fax: (707) 569-8620
Type: Location
South San Vicente Boulevard, Beverly Grove, Los Angeles, Los Angeles County, California, 90048, United States
LOS ANGELES, CA 900484108
Phone: (310) 360-6780
Type: Location
34 MARK WEST SPRINGS RD
SANTA ROSA, CA 954031766
Phone: (707) 546-1922
Fax: (707) 569-8620
Type: Location
750 REDWOOD HWY FRONTAGE RD STE 1204
MILL VALLEY, CA 949412483
Phone: (415) 384-4778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180831002301 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 104 | $0 |
| 29826 | Shaving of part of shoulder bone and repair of ligament using an endoscope | 39 | 39 | $0 |
| 29827 | Repair of shoulder rotator cuff using an endoscope | 36 | 36 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 33 | 33 | $0 |
| G0008 | Administration of influenza virus vaccine | 31 | 31 | $0 |
Insurance plans in this area (ZIP 90048)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CA | |
| Cardiac Electrophysiology, Internal Medicine, Nuclear Medicine, Cardiovascular Disease (Cardiology) | CA | |
| Surgical Oncology | CA | |
| Orthopedic Surgery | CA | |
| Orthopedic Surgery, Sports Medicine | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| - | CA |
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