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DR. TIFFANY PRUGPICHAILERS PEDIGO M.D.
NPI 1003172347
Pediatrics in Los Angeles, CA

Active since April 11, 2012PECOS Enrolled
757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 90095(310) 267-9129 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tiffany Prugpichailers Pedigo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIFFANY PRUGPICHAILERS PEDIGO M.D. (NPI 1003172347) is an individual pediatrics provider in Los Angeles, California, licensed in California (A130852) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003172347
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TIFFANY PRUGPICHAILERS PEDIGOCredential: M.D.
Location Address757 WESTWOOD PLZ, B711 RRUMCLos Angeles, CA 90095-7419
Mailing Address757 Westwood Plz, B711 RrumcLos Angeles, CA 90095-7419 · (310) 267-9129
Phone(310) 267-9129
Sole ProprietorYes
Enumeration DateApril 11, 2012
Last NPPES UpdateJune 7, 2016
✔ NPI 1003172347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A130852
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
757 WESTWOOD PLZ, Los Angeles, CA 90095
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Other Names 1

Former Name (1)Dr. Tiffany Prugpichailers M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tiffany Prugpichailers Pedigo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Pedigo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
3.1 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE CHA MD
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8041
SAMRAWIT ABRAHA
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-6629
KEN DEKITANI
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-7849
JACQUELINE LABINS MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-0903
JYODI DINESH MOHOLE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-9132
JASON THAMES HUYNH MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7375
BRITTANY CHY MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-8655
JI HAE LEE MD
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Pedigo's NPI number?

The NPI number for Tiffany Pedigo is 1003172347. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Dr. Tiffany Prugpichailers M.D..

Where is Tiffany Pedigo located?

Tiffany Pedigo practices at 757 Westwood Plz B711 Rrumc, Los Angeles, CA 90095. The listed phone number is (310) 267-9129.

What is Tiffany Pedigo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tiffany Pedigo enrolled in Medicare?

Yes. Tiffany Pedigo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Pedigo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Pedigo reassigns Medicare benefits to County Of Los Angeles (Santa Monica, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Pedigo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Pedigo was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.