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ALEJANDRA DUARTE M.D.
NPI 1073920583
Pediatrics in Wilmington, CA

Active since July 16, 2014PECOS Enrolled
445 E ANAHEIM ST, WILMINGTON, CA 90744(562) 277-9476(424) 417-5101 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 25, 2022, May 19, 2022, May 31, 2019 and 3 more (6 updates tracked since 2017).

About Alejandra Duarte M.d. NPPES

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

ALEJANDRA DUARTE M.D. (NPI 1073920583) is an individual pediatrics provider in Wilmington, California, licensed in California (A138049) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073920583
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALEJANDRA DUARTECredential: M.D.
Location Address445 E ANAHEIM STWilmington, CA 90744-4600
Mailing Address5200 Clark Avenue # 371Lakewood, CA 90714-9998
Phone(562) 277-9476
Fax(424) 417-5101
Sole ProprietorYes
Enumeration DateJuly 16, 2014
Last NPPES UpdateNovember 25, 20226 updates tracked since enumeration
NPPES CertifiedNovember 25, 2022
✔ NPI 1073920583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A138049
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.
445 E ANAHEIM ST, Wilmington, CA 90744
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Other Names 1

Other Name (5)Alejandra Navarro 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)

Alejandra Duarte 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 Alejandra Duarte reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.7 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

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 90744 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 3

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

DR. FARJAM SHADAIEE YASHMERANI DDS INC
Dentist
445 E ANAHEIM ST, M
WILMINGTON, CA 90744
Los Angeles County (310) 835-3535
AGILE OCCUPATIONAL MEDICINE, PC
Clinic/Center (Occupational Medicine)
445 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (562) 267-3798
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION SOUTHERN CALIFORNIA
Non-Pharmacy Dispensing Site
445 E ANAHEIM ST
WILMINGTON, CA 90744
Los Angeles County (310) 518-6146

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 Alejandra Duarte's NPI number?

The NPI number for Alejandra Duarte is 1073920583. It was assigned to this individual provider in the NPPES registry on July 16, 2014. The provider is also known as Alejandra Navarro M.D..

Where is Alejandra Duarte located?

Alejandra Duarte practices at 445 E Anaheim St, Wilmington, CA 90744. The listed phone number is (562) 277-9476.

What is Alejandra Duarte's specialty?

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

Is Alejandra Duarte enrolled in Medicare?

Yes. Alejandra Duarte is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alejandra Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alejandra Duarte reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Alejandra Duarte'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 Alejandra Duarte was last updated on November 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.