Jessica Travis | San Diego, CA • PECOS Search

Jessica Travis

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Travis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1174317382
Provider Type
Individual
Full Name
Travis, Jessica
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/4/2025
Last Updated
8/1/2025

Contact Information

Practice Location

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

Unlisted Fax

Mailing Location

3020 Childrens Way # Mc5124, San Diego, CA 92123-4223

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 17709 California