Jonathan Panarello, APRN
Nurse Practitioner in Santa Monica, CA. Individual provider (NPI-1).
NPI number1316488992
StatusActive
Last updated in NPPESDec 30, 2025
Details
- NPI
- 1316488992
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Panarello
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2017
- Certification date
- Dec 30, 2025
- Last updated
- Dec 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95014195 | CA | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 95014195 | CA | |
| 363LA2200X | Nurse Practitioner, Adult Health | 95014195 | CA | |
| 363LG0600X | Nurse Practitioner, Gerontology | 95014195 | CA |
Practice location
1250 16th StSanta Monica, CA 90404-1249
Phone 424-259-9450 · Fax 424-259-6671
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-5200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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