Pinpin Priswaldy Tedja-yen, NP - Medicare Nurse Practitioner in West Covina, CA

  1. Home
  2. Registered Nurse
  3. CA
  4. West Covina
Pinpin Priswaldy Tedja-yen, NP is a medicare enrolled "Registered Nurse" in West Covina, California. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 420 S Glendora Ave, West Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 919-4333.

Pinpin Priswaldy Tedja-yen is licensed to practice in California (license number 682814) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114290178.

Contact Information

Pinpin Priswaldy Tedja-yen, NP
420 S Glendora Ave,
West Covina, CA 91790-3001
(626) 919-4333
Not Available

Map and Direction




Provider's Profile

Full NamePinpin Priswaldy Tedja-yen
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location420 S Glendora Ave, West Covina, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pinpin Priswaldy Tedja-yen graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1114290178
  • Provider Enumeration Date: 02/21/2012
  • Last Update Date: 02/10/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305096801
  • Enrollment ID: I20140818002637

Medical Identifiers

Medical identifiers for Pinpin Priswaldy Tedja-yen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114290178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 682814 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291759038

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pinpin Priswaldy Tedja-yen allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823
Entity NameEast Valley Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831243625
PECOS PAC ID: 9234041765
Enrollment ID: O20050425000560

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pinpin Priswaldy Tedja-yen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pinpin Priswaldy Tedja-yen, NP
22910 Mountain Laurel Way,
Diamond Bar, CA 91765-2530

Ph: (909) 895-9799		Pinpin Priswaldy Tedja-yen, NP
420 S Glendora Ave,
West Covina, CA 91790-3001

Ph: (626) 919-4333

Reviews and Comments


Registered Nurse Nurses in West Covina, CA

Catharine Irene Jordan, REGISTERED NURSE
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 S Sunset Ave, West Covina, CA 91790
Phone: 626-814-2534    Fax: 626-814-2591
Michelle Inga,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 S Sunset Ave, West Covina, CA 91790
Phone: 626-962-4011    
Derek Tang, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1628 S Conlon Ave, West Covina, CA 91790
Phone: 626-373-4532    
Kelly Hauser, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1115 S Sunset Ave, West Covina, CA 91790
Phone: 606-814-2585    
Jemimah Njeri Ndungu, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1626 W Cameron Ave, West Covina, CA 91790
Phone: 214-809-5741    
Jedida Nyawira Wanyoike,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1530 Glacier Way, West Covina, CA 91791
Phone: 281-760-8297    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.