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DR. ITAY ITAMAR TESHUVA MD
NPI 1053112037
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 24, 2025PECOS Enrolled
2051 MARENGO ST STE A7D, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Itay Itamar Teshuva Md NPPES

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

DR. ITAY ITAMAR TESHUVA MD (NPI 1053112037) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053112037
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ITAY ITAMAR TESHUVACredential: MD
Location Address2051 MARENGO ST STE A7DLos Angeles, CA 90033-1352
Mailing Address5550 Lake Lindero DrAgoura Hills, CA 91301-1905 · (818) 943-0950
Phone(323) 409-1000
Sole ProprietorNo
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1053112037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2051 MARENGO ST STE A7D, Los Angeles, CA 90033
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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)

Dr. Itay Itamar Teshuva Md 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.

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.

SEAN GREGORY SCHEINER MD
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST STE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7053
OGECHUKWU NKPULUMMA IBIK
Student in an Organized Health Care Education/Training Program
2051 MARENGO ST STE A7D
LOS ANGELES, CA 90033
Los Angeles County (713) 679-4147
STEPHANIE WONG MD
Otolaryngology
2051 MARENGO ST STE A7D
LOS ANGELES, CA 90033
Los Angeles County (310) 872-7262

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 Itay Teshuva's NPI number?

The NPI number for Itay Teshuva is 1053112037. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Itay Teshuva located?

Itay Teshuva practices at 2051 Marengo St Ste A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-1000.

What is Itay Teshuva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Itay Teshuva enrolled in Medicare?

Yes. Itay Teshuva is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Itay Teshuva was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.