Individual provider · Type 1 NPI

Jacqueline Hayata

Physician Assistant · Los Angeles, CA

NPI number 1861071102 Active

Practice location

221 Westwood Plz
Los Angeles, CA 90095-4103

Call (310) 825-4073 Map

Fax (310) 983-1172

Mailing address

960 S Oxford Ave Apt 223
Los Angeles, CA 90006-6306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861071102

Jacqueline Hayata's National Provider Identifier is 1861071102, issued on Apr 5, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 25, 2026.