JACOB SCHWARTZ (PA-C) – Medical Physician Assistant, NPI 1336897040

JACOB SCHWARTZ (PA-C) is a healthcare provider. based in Playa vista, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60894 (CA). The NPI Number for JACOB SCHWARTZ (PA-C) is 1336897040

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JACOB SCHWARTZ (PA-C)
NPI
1336897040
Phone
Not provided
Address
12665 VILLAGE LN APT 2301
Enumeration Date
11 March 2022
Last Update Date
11 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3109630365
Graduation Year
2021 (5 years ago)
PAC ID
6103291083
Group Practice PAC ID
7416386800
Professional Enrollment ID
I20230406000663
Address ID
CA902322626CU9640XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:4State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for JACOB SCHWARTZ (PA-C)

  • 12665 VILLAGE LN APT 2301

    PLAYA VISTA, CA 900942832

    Phone:

    Type: Mailing

  • 14860 ROSCOE BLVD STE 200

    PANORAMA CITY, CA 914024683

    Phone: (310) 553-5203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,300.

Total Amount is formed as General ($1,300) + Research ($0) + Ownership ($0) = $1,300.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: ViiV Healthcare Company ($353).

Total Amount

$1,300

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,300

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-04-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230406000663IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90094)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416386800View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Does JACOB SCHWARTZ (PA-C) have a public NPI I can cite?
Public records show JACOB SCHWARTZ (PA-C) under NPI 1336897040.
Does the public listing show JACOB SCHWARTZ (PA-C) as active?
JACOB SCHWARTZ (PA-C)'s NPI record reflects an active status in NPPES.
What services align with JACOB SCHWARTZ (PA-C)'s listing?
JACOB SCHWARTZ (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to JACOB SCHWARTZ (PA-C)?
The directory associates JACOB SCHWARTZ (PA-C) with Playa Vista, California. Check all listed addresses for suites or satellite offices.
Can I export JACOB SCHWARTZ (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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