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PINPIN PRISWALDY TEDJA-YEN NP
NPI 1114290178
Registered Nurse in West Covina, CA

Active since February 21, 2012PECOS EnrolledAccepts Medicare Assignment
420 S GLENDORA AVE, WEST COVINA, CA 91790(626) 919-4333 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2022, Dec 8, 2021 (2 updates tracked since 2021).

About Pinpin Priswaldy Tedja-yen Np NPPES

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

PINPIN PRISWALDY TEDJA-YEN NP (NPI 1114290178) is an individual registered nurse in West Covina, California, licensed in California (682814) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114290178
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NamePINPIN PRISWALDY TEDJA-YENCredential: NP
Location Address420 S GLENDORA AVEWest Covina, CA 91790-3001
Mailing Address22910 Mountain Laurel WayDiamond Bar, CA 91765-2530 · (909) 895-9799
Phone(626) 919-4333
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 21, 2012
Last NPPES UpdateFebruary 10, 20222 updates tracked since enumeration
✔ NPI 1114290178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CA · 682814
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
420 S GLENDORA AVE, West Covina, CA 91790
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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 and accepts Medicare assignment

Pinpin Priswaldy Tedja-yen Np 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.

PECOS PAC ID6305096801
PECOS Enrollment IDI20140818002637
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 20

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

MS. MIRIAM HA P.A.
Physician Assistant
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-4333
EAST VALLEY COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-5724
DR. BHANUMATI TOPRANI DDS
Dentist
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-4333
MRS. LOIS LAMBERT C.N.M.
Advanced Practice Midwife
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-4333
EAST VALLEY COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-5724
DR. LYNN AMORES MD
Family Medicine
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (323) 337-1886
MS. CRYSTAL ORTIZ RDN
Dietitian, Registered
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-5724
DR. ANDREW NGUYEN HOANG DO
Family Medicine
420 S GLENDORA AVE
WEST COVINA, CA 91790
Los Angeles County (626) 919-4333

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 Pinpin Tedja-yen's NPI number?

The NPI number for Pinpin Tedja-yen is 1114290178. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Where is Pinpin Tedja-yen located?

Pinpin Tedja-yen practices at 420 S Glendora Ave, West Covina, CA 91790. The listed phone number is (626) 919-4333.

What is Pinpin Tedja-yen's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Pinpin Tedja-yen enrolled in Medicare?

Yes. Pinpin Tedja-yen 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.

When was this NPI record last updated?

The NPPES record for Pinpin Tedja-yen was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.