Doctor profile · Federal record

Dr. Jill Deharo, PA-C

Physician Assistant · Los Angeles, CA

  • NPI 1912190638
  • Accepts Medicare
  • MIPS 73.2 / 100 · 2023
  • 19 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
4760 W Sunset Blvd
Los Angeles, CA 900276063
(310) 729-2465
Additional location
3612 1/2 E 1St St
Los Angeles, CA 900632326
(323) 264-7796

Credentials & registration

NPPES · NUCC
NPI registered
August 2007 — 19 yrs on file
Profile last updated
March 25, 2022
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #21360

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1912190638. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
44
Distinct HCPCS
2
Medicare allowed
$6,565
HCPCS Description Services Patients Avg allowed
43762 Replacement of stomach stoma tube 22 18 $230
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 22 18 $69

In context: peer comparison

Among 120 peers in this city , average services per provider: 176. This provider delivers 0.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
81
Patients
35
Total drug cost
$15,533
Drug Type Claims Patients Total cost
Santyl (Collagenase Clostridium Hist.) Brand 34 19 $14,981
Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) Brand 23 16 $327
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 13 0 $129
Ciprofloxacin Hcl Generic 11 0 $97

Frequently asked questions

Auto-generated from federal data
What is Dr. Jill Deharo's medical specialty?
Dr. Jill Deharo practices Physician Assistant in Los Angeles, CA.
Where does Dr. Jill Deharo practice?
Dr. Jill Deharo practices at 4760 W Sunset Blvd, Los Angeles, CA 900276063. Office phone: 3107292465.
What is Dr. Jill Deharo's NPI?
Dr. Jill Deharo's National Provider Identifier (NPI) is 1912190638, issued by NPPES.
Does Dr. Jill Deharo accept Medicare assignment?
Yes. Dr. Jill Deharo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jill Deharo commonly perform?
Top Medicare-reported procedures in 2023: Replacement of stomach stoma tube (HCPCS 43762); Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308). Source: CMS Medicare Physician & Other Practitioners file.