ELROY Y JAN M.D.
NPI 1134212814
Pediatrics in Torrance, CA
About Elroy Y Jan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELROY Y JAN M.D. (NPI 1134212814) is an individual pediatrics provider in Torrance, California, licensed in California (A87964) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Torrance.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Elroy Y Jan M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Elroy Jan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 1,501 clinicians in this Medicare group
Milwaukie, OR 97222
- Reassigned Medicare billing, Oregon enrollment
- 229 clinicians in this Medicare group
Portland, OR 97225
- Reassigned Medicare billing, Oregon enrollment
- 753 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Milwaukie Hospital
Acute Care Hospitals · Milwaukie, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Elroy Jan's NPI number?
The NPI number for Elroy Jan is 1134212814. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Elroy Jan located?
Elroy Jan practices at 3330 Lomita Blvd, Torrance, CA 90505. The listed phone number is (310) 891-6623.
What is Elroy Jan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Elroy Jan enrolled in Medicare?
Yes. Elroy Jan 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.
Which organizations bill Medicare for Elroy Jan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elroy Jan reassigns Medicare benefits to 3 organizations: Providence Health & Services - Oregon (Bend, OR), Providence Health & Services Oregon (Milwaukie, OR) and Providence Health & Services - Oregon (Portland, OR). Each 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 Elroy Jan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Elroy Jan affiliated with any hospitals?
According to CMS data, Elroy Jan is affiliated with Providence St Vincent Medical Center and Providence Milwaukie Hospital.
When was this NPI record last updated?
The NPPES record for Elroy Jan was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Elroy Y Jan, M.D. · NPI 1134212814
Pediatrics physician in Torrance, California. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1134212814 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A87964 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3330 LOMITA BLVD, Torrance, CA 90505-5002
- **Phone:** (310) 891-6623
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services - Oregon (NPI 1194996991, Bend, OR); Providence Health & Services Oregon (NPI 1366536963, Milwaukie, OR); Providence Health & Services - Oregon (NPI 1114015971, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2002
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Other P00464831 (OR); Medicaid 213211 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1134212814) · Data from the CMS NPPES public registry.