JENNIFER FAITH MARZAN (PA-C) – Medical Physician Assistant, NPI 1790716397
Medical 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 JENNIFER FAITH MARZAN (PA-C)
325-327, Main Street, El Segundo, Los Angeles County, California, 90245, United States
EL SEGUNDO, CA 902453814
Phone: (310) 322-9700
Fax: (310) 322-9710
Type: Location
4247, Michael Avenue, Mar Vista, Los Angeles, Los Angeles County, California, 90066, United States
LOS ANGELES, CA 900665617
Phone:
Type: Mailing
520 N PROSPECT AVE STE 103
REDONDO BEACH, CA 902773033
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Axonics, Inc. ($157).
Total Amount
$301
General + Research + Ownership
Payments
3
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axonics, Inc. | $157 |
| Smith+Nephew, Inc. | $120 |
| GlaxoSmithKline, LLC. | $23 |
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: 2006-10-02
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 |
|---|---|---|---|---|
| I20061002000438 | 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 | 55 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 90245)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Infectious Disease, Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Rheumatology, Internal Medicine | CA | |
| H O S P I T A L I S T | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA |
Reviews
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