MAX JORDAN NGUEMENI TIAKO
NPI 1124601513
Internal Medicine in Los Angeles, CA

Q: What is Max Jordan Nguemeni Tiako's NPI number?

The NPI number for Max Jordan Nguemeni Tiako is 1124601513. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Q: What is Max Jordan Nguemeni Tiako's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 03, 2021PECOS EnrolledAccepts Medicare Assignment

200 UCLA MEDICAL PLZ STE 120, LOS ANGELES, CA 90095(310) 206-6909 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, May 3, 2021 (2 updates tracked since 2021).

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About Max Jordan Nguemeni Tiako NPPES

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

MAX JORDAN NGUEMENI TIAKO (NPI 1124601513) is an individual internal medicine provider in Los Angeles, California, licensed in California (A196376) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2021).

NPPES Registry Identity

NPI1124601513

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMAX JORDAN NGUEMENI TIAKO

Location Address200 UCLA MEDICAL PLZ STE 120Los Angeles, CA 90095-6110

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707

Phone(310) 206-6909

Sole ProprietorYes

Medical School CMSYale University School Of MedicineGraduated 2021

Enumeration DateMay 3, 2021

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedMay 5, 2021

✔ NPI 1124601513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A196376

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

200 UCLA MEDICAL PLZ STE 120, Los Angeles, CA 90095

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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

Max Jordan Nguemeni Tiako 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 ID2466994561

PECOS Enrollment IDI20240604003539

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 90095 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 16

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

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