AIA THERESE INTREPIDO FNP
NPI 1184440612
Nurse Practitioner - Family in South Pasadena, CA

Active since November 30, 2024PECOS EnrolledAccepts Medicare Assignment
23 SHORT WAY ST, SOUTH PASADENA, CA 91030(213) 448-2113 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aia Therese Intrepido Fnp NPPES

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

AIA THERESE INTREPIDO FNP (NPI 1184440612) is an individual family provider in South Pasadena, California, licensed in California (95032565) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184440612
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAIA THERESE INTREPIDOCredential: FNP
Location Address23 SHORT WAY STSouth Pasadena, CA 91030-4050
Mailing Address23 Short Way StSouth Pasadena, CA 91030-4050
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 30, 2024
NPPES CertifiedNovember 30, 2024
✔ NPI 1184440612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95032565
23 SHORT WAY ST, South Pasadena, CA 91030

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

Aia Therese Intrepido Fnp 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 ID5698295814
PECOS Enrollment IDI20250218003862
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 Aia Therese Intrepido reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
801 S CHEVY CHASE DR, SUITE #105
Glendale, CA 91205
  • Reassigned Medicare billing, California enrollment
  • 139 clinicians in this Medicare group
General Acute Care Hospital
1720 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 131 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 91030 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.

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 Aia Therese Intrepido's NPI number?

The NPI number for Aia Therese Intrepido is 1184440612. It was assigned to this individual provider in the NPPES registry on November 30, 2024.

Where is Aia Therese Intrepido located?

Aia Therese Intrepido practices at 23 Short Way St, South Pasadena, CA 91030. The listed phone number is (213) 448-2113.

What is Aia Therese Intrepido's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Aia Therese Intrepido enrolled in Medicare?

Yes. Aia Therese Intrepido 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 Aia Therese Intrepido's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aia Therese Intrepido reassigns Medicare benefits to 2 organizations: Adventist Health Physicians Network (Glendale, CA) and White Memorial Medical Center (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 Aia Therese Intrepido'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 Aia Therese Intrepido was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.