| Kevin J. Pelton Md, Inc. | |
|
1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033-2424 | |
| (323) 264-7600 | |
| (323) 261-8027 |
| Full Name | Kevin J. Pelton Md, Inc. |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 1700 E Cesar E Chavez Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679771703 | NPI | - | NPPES |
| 1033282637 | Other | CA | IND NPI |
| Provider Name | David A Collazo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548457344 PECOS PAC ID: 1557359775 Enrollment ID: I20040505000547 |
| Provider Name | Felipe Nunez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508998733 PECOS PAC ID: 4284731803 Enrollment ID: I20070516000243 |
| Provider Name | Kevin J Pelton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033282637 PECOS PAC ID: 1759463862 Enrollment ID: I20080129000242 |
| Provider Name | Daniel Rivas-tejada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043456973 PECOS PAC ID: 2163588781 Enrollment ID: I20090306000226 |
| Provider Name | Leah T Cyran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962628388 PECOS PAC ID: 5991859027 Enrollment ID: I20090824000549 |
| Provider Name | Michael J Marcus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720064165 PECOS PAC ID: 2264588466 Enrollment ID: I20090912000090 |
| Provider Name | Matthew D Longacre |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750608303 PECOS PAC ID: 2365610086 Enrollment ID: I20110725000721 |
| Provider Name | Daniel C Acevedo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184856122 PECOS PAC ID: 8022146638 Enrollment ID: I20131008000300 |
| Provider Name | Erik M Dworsky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942560024 PECOS PAC ID: 9739403932 Enrollment ID: I20150116001223 |
| Provider Name | Siamak Yasmeh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811320849 PECOS PAC ID: 5799001103 Enrollment ID: I20150302002507 |
| Provider Name | David Barba |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205064722 PECOS PAC ID: 4587803788 Enrollment ID: I20150804004872 |
| Provider Name | Natalie A Hammond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881024222 PECOS PAC ID: 4486957461 Enrollment ID: I20160126000255 |
| Provider Name | Michelle T Sugi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568709996 PECOS PAC ID: 3870899271 Enrollment ID: I20160426000383 |
| Provider Name | Mark Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669738225 PECOS PAC ID: 5991095689 Enrollment ID: I20160608002404 |
| Provider Name | John R Giannini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336262070 PECOS PAC ID: 6901194414 Enrollment ID: I20161017002443 |
| Provider Name | Menyoli M Malafa |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1972895027 PECOS PAC ID: 7911275615 Enrollment ID: I20170621003091 |
| Provider Name | Sevag Armand Bastian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740540244 PECOS PAC ID: 9133491087 Enrollment ID: I20170828001714 |
| Provider Name | Nora Nazarian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215465257 PECOS PAC ID: 6204109242 Enrollment ID: I20170913001569 |
| Provider Name | Jonathan H Naick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366968513 PECOS PAC ID: 6507108008 Enrollment ID: I20190502002334 |
| Provider Name | Raj D Desai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508258559 PECOS PAC ID: 3577866193 Enrollment ID: I20190725000852 |
| Provider Name | Michael A Perrone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568875987 PECOS PAC ID: 7810299609 Enrollment ID: I20190829004020 |
| Provider Name | David A Moriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609413509 PECOS PAC ID: 4587081385 Enrollment ID: I20200825001883 |
| Provider Name | Michelle Ji Hye Chang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669008058 PECOS PAC ID: 8325455231 Enrollment ID: I20210319002188 |
| Provider Name | Yixi K Lu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356716138 PECOS PAC ID: 8921371303 Enrollment ID: I20210415001508 |
| Provider Name | Jason Arvind Kaushik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1942733266 PECOS PAC ID: 2163791401 Enrollment ID: I20210702000607 |
| Provider Name | Danny Ho Wang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750886248 PECOS PAC ID: 2961755251 Enrollment ID: I20210908003120 |
| Provider Name | Bryan Felipe Sandoval |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902450620 PECOS PAC ID: 3870987589 Enrollment ID: I20220223000876 |
| Provider Name | Annie Yang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831771104 PECOS PAC ID: 2163816547 Enrollment ID: I20220301000803 |
| Provider Name | Brent Bowen Pickrell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1558757245 PECOS PAC ID: 2668789132 Enrollment ID: I20220727002294 |
| Provider Name | Matt Joseph Cikra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932698495 PECOS PAC ID: 8224376892 Enrollment ID: I20220929001373 |
| Provider Name | Jose Antonio Acosta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104454446 PECOS PAC ID: 4789047093 Enrollment ID: I20230901002184 |
| Provider Name | Matthew Suk-young Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184332272 PECOS PAC ID: 4284098344 Enrollment ID: I20230908000800 |
| Provider Name | Whitty Jennie Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073288858 PECOS PAC ID: 2062866809 Enrollment ID: I20230927001287 |
| Provider Name | Orlando Adrian Campos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770262867 PECOS PAC ID: 7113370743 Enrollment ID: I20240130002217 |
| Provider Name | Hayk Stepanyan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790211696 PECOS PAC ID: 4082947098 Enrollment ID: I20240801001369 |
| Provider Name | Jayson Y Lian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194285288 PECOS PAC ID: 2264979491 Enrollment ID: I20240805003404 |
| Provider Name | Elizabeth Erie Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407515224 PECOS PAC ID: 2860926300 Enrollment ID: I20241106003616 |
| Provider Name | Tivi Madison Mauro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770303323 PECOS PAC ID: 6608306592 Enrollment ID: I20250206003341 |
| Provider Name | Jazmin Lisette Bermudez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952012395 PECOS PAC ID: 1658855234 Enrollment ID: I20260320003669 |
| Provider Name | Anthony Xavier-joseph Limon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356237598 PECOS PAC ID: 7517434061 Enrollment ID: I20260422001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J. Pelton Md, Inc. 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033-2424 Ph: (323) 264-7600 | Kevin J. Pelton Md, Inc. 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033-2424 Ph: (323) 264-7600 |