ALYSSA PEDROZA
NPI 1053084079
Optometrist in Los Angeles, CA
About Alyssa Pedroza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA PEDROZA (NPI 1053084079) is an individual optometrist in Los Angeles, California, licensed in California (34864) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington Beach, and is a graduate of Southern California College Of Optometry (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alyssa Pedroza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Alyssa Pedroza reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Costa Mesa, CA 92626
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
San Diego, CA 92128
- Reassigned Medicare billing, California enrollment
- 236 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alyssa Pedroza's NPI number?
The NPI number for Alyssa Pedroza is 1053084079. It was assigned to this individual provider in the NPPES registry on July 27, 2021.
Where is Alyssa Pedroza located?
Alyssa Pedroza practices at 12461 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 390-6287.
What is Alyssa Pedroza's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Alyssa Pedroza enrolled in Medicare?
Yes. Alyssa Pedroza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Alyssa Pedroza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Pedroza reassigns Medicare benefits to 3 organizations: Dr. Alissa Wald And Associates Optometry, Inc. (Costa Mesa, CA), Woodbridge Optometry, Inc. (Irvine, CA) and Total Vision PC (San Diego, CA). Each 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 Alyssa Pedroza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Pedroza accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Alyssa Pedroza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alyssa Pedroza was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Alyssa Pedroza · NPI 1053084079
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1053084079 (Entity type: Individual)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 34864 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 12461 W WASHINGTON BLVD, Los Angeles, CA 90066-5511
- **Phone:** (310) 390-6287
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dr. Alissa Wald And Associates Optometry, Inc. (NPI 1851574958, Costa Mesa, CA); Woodbridge Optometry, Inc. (NPI 1891232096, Irvine, CA); Total Vision PC (NPI 1356813711, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern California College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** August 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1053084079) · Data from the CMS NPPES public registry.