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

Marissa Robin Jennings, PA-C

Individual provider Medical Physician Assistant · NPI 1245979095

Marissa Robin Jennings, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with St John's Community Health, a 148-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and South Carolina.

Years since qualifying
4
Licensed in
CA, SC
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5834 Sw 9th Pl, Gainesville, FL 32607-3891 — (704) 999-5827
  • 2810 Ashley Phosphate Rd, North Charleston, SC 29418-6405 — (843) 553-7744

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 62675 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4517 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245979095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 31, 2022
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St. John'S Community Health — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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