JOCELYN FLORDELIZ SUPAN
NPI 1154797942
Pediatrics in Los Angeles, CA

Active since August 15, 2015PECOS Enrolled
1200 N STATE ST, CTA7D, LOS ANGELES, CA 90033(323) 226-5700 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jocelyn Flordeliz Supan NPPES

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

JOCELYN FLORDELIZ SUPAN (NPI 1154797942) is an individual pediatrics provider in Los Angeles, California, licensed in California (956000927) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154797942
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJOCELYN FLORDELIZ SUPAN
Location Address1200 N STATE ST, CTA7DLos Angeles, CA 90033-1029
Mailing Address1200 N State St, Cta7dLos Angeles, CA 90033-1029
Sole ProprietorNo
Enumeration DateAugust 15, 2015
Last NPPES UpdateFebruary 5, 2026
NPPES CertifiedFebruary 5, 2026
✔ NPI 1154797942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 956000927
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.
1200 N STATE ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jocelyn Flordeliz Supan 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 Reassignments

2

Medicare enrollment records show Jocelyn Flordeliz Supan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
4650 SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
  • 1,281 clinicians in this Medicare group
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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 20

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

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Jocelyn Flordeliz Supan's NPI number?

The NPI number for Jocelyn Flordeliz Supan is 1154797942. It was assigned to this individual provider in the NPPES registry on August 15, 2015.

Where is Jocelyn Flordeliz Supan located?

Jocelyn Flordeliz Supan practices at 1200 N State St Cta7d, Los Angeles, CA 90033. The listed phone number is (323) 226-5700.

What is Jocelyn Flordeliz Supan's specialty?

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

Is Jocelyn Flordeliz Supan enrolled in Medicare?

Yes. Jocelyn Flordeliz Supan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jocelyn Flordeliz Supan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jocelyn Flordeliz Supan reassigns Medicare benefits to 2 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Southern California Permanente Medical Group (Los Angeles, CA). 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 Jocelyn Flordeliz Supan'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 Jocelyn Flordeliz Supan was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.