Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jason William Degraff, AGACNP-BC

Individual provider Registered Nurse · NPI 1104562701

Jason William Degraff, AGACNP-BC is a Nurse Practitioner in Los Angeles, California. Qualified in 2024, 2 years ago. Practices with PIH Health Physicians, a 614-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone: (213) 977-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95029925 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95165644 (CA)

Record details

NPI number1104562701
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedMay 7, 2022
Last updated in NPPESMarch 28, 2026
Certification dateMarch 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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