DR. JASON LITAK (MD) – MOHS-Micrographic Surgery Physician, NPI 1750575247

DR. JASON LITAK (MD) is a healthcare provider. based in Santa monica, California. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials MD. They hold a License No. A118111 (CA). The NPI Number for DR. JASON LITAK (MD) is 1750575247

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JASON LITAK (MD)
NPI
1750575247
Phone
(310) 829-4484
Address
2001 SANTA MONICA BLVD
Enumeration Date
28 August 2007
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
3108294484
Graduation Year
2007 (19 years ago)
PAC ID
9739358375
Group Practice PAC ID
8123390986
Professional Enrollment ID
I20121022000342
Address ID
CA904042155SA2001XBLVD404
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

120 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CA

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Provider Addresses for DR. JASON LITAK (MD)

  • 2001, Santa Monica Boulevard, Santa Monica, Los Angeles County, California, 90404, United States

    SUITE 990-W

    SANTA MONICA, CA 904042102

    Phone: (310) 829-4484

    Fax: (310) 829-4481

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 83 Open Payments records for all available years, with a total value of $2,071.

Total Amount is formed as General ($2,071) + Research ($0) + Ownership ($0) = $2,071.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($518).

Total Amount

$2,071

General + Research + Ownership

Payments

83

Total payment records

General Amount

$2,071

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-10-22

PECOS data refreshed: 2026-06-15

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
I20121022000342IDermatologyCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,412218$0
88305Pathology examination of tissue using a microscope, intermediate complexity560280$0
99213Established patient office or other outpatient visit, 20-29 minutes475339$0
17000Destruction of precancer skin growth, 1 growth382276$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks295226$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

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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: 8123390986View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Dermatology, PathologyCA
D E R M A T O L O G YCA
-CA

Reviews

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Frequently asked questions

Does DR. JASON LITAK (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JASON LITAK (MD) uses 1750575247.
Can I rely on DR. JASON LITAK (MD) being an active provider?
As of the registry snapshot, DR. JASON LITAK (MD) is marked active.
What taxonomy line describes DR. JASON LITAK (MD)?
For research purposes, treat DR. JASON LITAK (MD) as MOHS-Micrographic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JASON LITAK (MD)?
DR. JASON LITAK (MD)'s geographic hint is Santa Monica, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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