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

Jessica A Marine

Individual provider Physician Assistant · NPI 1891556353

Jessica A Marine is a Physician Assistant in Los Angeles, California. Qualified in 2024, 2 years ago. Practices with Via Care Community Health Center, an 11-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

607 S Atlantic Blvd
Los Angeles, CA 90022-3211
Phone: (323) 268-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1891556353
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Via Care Community Health Center — 11 clinicians
Accepts Medicare assignment Not indicated
Practice locations10 on file with Medicare

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