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

MS. Jill Jude Deharo, PA-C

Individual provider Physician Assistant · NPI 1912190638

MS. Jill Jude Deharo, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2007, 19 years ago. Practices with PIH Health Physicians, a 614-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4760 W Sunset Blvd
Los Angeles, CA 90027-6063
Phone: (310) 729-2465
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3612 1/2 E 1st St, Los Angeles, CA 90063-2326 — (323) 264-7796

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 21360 (CA)

Record details

NPI number1912190638
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2007
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Los Angeles