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SERENA TEDDY PA-C, MS, RD
NPI 1043404379
Physician Assistant in Anaheim, CA

Active since August 29, 2007PECOS Enrolled
9918 KATELLA AVE STE C, ANAHEIM, CA 92804(714) 625-8320 Get Directions Write a Review

NPPES record last updated: March 7, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Serena Teddy Pa-c, Ms, Rd NPPES

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

SERENA TEDDY PA-C, MS, RD (NPI 1043404379) is an individual physician assistant in Anaheim, California, licensed in California (51359) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043404379
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSERENA TEDDYCredential: PA-C, MS, RD
Location Address9918 KATELLA AVE STE CAnaheim, CA 92804-6466
Mailing Address9918 Katella Ave Ste CAnaheim, CA 92804-6466 · (714) 625-8320
Phone(714) 625-8320
Sole ProprietorNo
Enumeration DateAugust 29, 2007
Last NPPES UpdateMarch 7, 2014
✔ NPI 1043404379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 51359
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 00969551 (CA)
9918 KATELLA AVE STE C, Anaheim, CA 92804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serena Teddy Pa-c, Ms, Rd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92804 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

MOUNIR RAHHAL DC
Chiropractor
9918 KATELLA AVE STE C
ANAHEIM, CA 92804
Orange County (714) 625-8320

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 Serena Teddy's NPI number?

The NPI number for Serena Teddy is 1043404379. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Serena Teddy located?

Serena Teddy practices at 9918 Katella Ave Ste C, Anaheim, CA 92804. The listed phone number is (714) 625-8320.

What is Serena Teddy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Serena Teddy enrolled in Medicare?

Yes. Serena Teddy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Serena Teddy was last updated on March 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.