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

Jessica Tabares

Individual provider Nurse Practitioner · NPI 1659921641

Jessica Tabares is a Nurse Practitioner in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 234-0616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 768369 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 768369 (CA)

Record details

NPI number1659921641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2019
Last updated in NPPESDecember 3, 2021
Certification dateMarch 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Los Angeles