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MR. ALBERTO GEDISSMAN M.D.
NPI 1104814086
Pediatrics in Santa Ana, CA

Active since October 13, 2005PECOS Enrolled
1515 S BROADWAY, SUITE A, SANTA ANA, CA 92707(714) 919-0280(714) 288-8970 Get Directions Write a Review

NPPES record last updated: November 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Alberto Gedissman M.d. NPPES

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

MR. ALBERTO GEDISSMAN M.D. (NPI 1104814086) is an individual pediatrics provider in Santa Ana, California, licensed in California (A26326) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104814086
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. ALBERTO GEDISSMANCredential: M.D.
Location Address1515 S BROADWAY, SUITE ASanta Ana, CA 92707-2253
Mailing Address3141 Michelson Dr, Apt 1404Irvine, CA 92612-5623 · (714) 425-4319 · Fax (949) 854-3975
Phone(714) 919-0280
Fax(714) 288-8970
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateNovember 7, 2011
✔ NPI 1104814086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A26326
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.
1515 S BROADWAY, Santa Ana, CA 92707
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Other Identifiers 1

Medicaid00A263260CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alberto Gedissman 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92707 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.

MR. ARTHUR VINCENT SAAVEDRA
Health Educator
1515 S BROADWAY
SANTA ANA, CA 92707
Orange County (714) 919-0280
MARIE KIM LAN VU N.P.
Nurse Practitioner (Family)
1515 S BROADWAY
SANTA ANA, CA 92707
Orange County (714) 919-0280
MRS. LIZET ESPINOZA BANDE M.ED
Nutritionist (Nutrition, Education)
1515 S BROADWAY
SANTA ANA, CA 92707
Orange County (714) 919-0280

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 Alberto Gedissman's NPI number?

The NPI number for Alberto Gedissman is 1104814086. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Alberto Gedissman located?

Alberto Gedissman practices at 1515 S Broadway Suite A, Santa Ana, CA 92707. The listed phone number is (714) 919-0280.

What is Alberto Gedissman's specialty?

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

Is Alberto Gedissman enrolled in Medicare?

Yes. Alberto Gedissman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alberto Gedissman was last updated on November 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.