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

Jennifer R Kosova, PAC

Individual provider Physician Assistant · NPI 1083636203

Jennifer R Kosova, PAC is a Physician Assistant in Santa Monica, California. Licensed in California and Texas. Registered with an NPI since 2006.

Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1328 22nd Street ER
Santa Monica, CA 90404
Phone: (214) 455-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20131 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA02208 (TX)

Record details

NPI number1083636203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

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