MS. JILLIAN VIRGINIA PAYNE-FRIEDICK (PA-C) – Physician Assistant, NPI 1750569240
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MS. JILLIAN VIRGINIA PAYNE-FRIEDICK (PA-C)
Dr. Robert Cohen, 1301, 20th Street, Santa Monica, Los Angeles County, California, 90404, United States
SUITE 230
SANTA MONICA, CA 904042050
Phone: (310) 828-4411
Fax: (310) 828-2411
Type: Mailing
460 HIGHVIEW ST
NEWBURY PARK, CA 913205028
Phone: (562) 244-9127
Type: Mailing
701 N WENDY DR
THOUSAND OAKS, CA 913203066
Phone: (805) 375-4400
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: 2008-05-16
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 |
|---|---|---|---|---|
| I20080516000187 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | 162 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 87 | 86 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 78 | 40 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 56 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 42 | $0 |
Insurance plans in this area (ZIP 90404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Physician Assistant | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Physician Assistant | CA |
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