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

Mrs. Jena Depetris, MD

Individual provider Body Imaging Physician · NPI 1962889063

Mrs. Jena Depetris, MD is a Diagnostic Radiology in Los Angeles, California. Graduated from University of Southern California Keck School of Medicine in 2015, 11 years ago. Practices with UCLA Radiology Medical Group, a 198-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (310) 301-6800
Fax: (310) 794-9035
Show map & directions

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

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence A167170 (CA)

Record details

NPI number1962889063
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2015
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Ucla Radiology Medical Group — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations32 on file with Medicare

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