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CAROLYN ODUCADO PA
NPI 1194934380
Physician Assistant in La Puente, CA

Active since May 22, 2007PECOS Enrolled
565 S AZUSA WAY, LA PUENTE, CA 91744(626) 913-4795 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Jan 5, 2026, Apr 16, 2020 (3 updates tracked since 2020).

About Carolyn Oducado Pa NPPES

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

CAROLYN ODUCADO PA (NPI 1194934380) is an individual physician assistant in La Puente, California, licensed in California (PA13678) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194934380
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN ODUCADOCredential: PA
Location Address565 S AZUSA WAYLa Puente, CA 91744-5113
Mailing Address17425 Briardale LnYorba Linda, CA 92886-1844 · (714) 342-8642
Phone(626) 913-4795
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1194934380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA13678
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
565 S AZUSA WAY, La Puente, CA 91744
Open in Google Maps ↗

Other Identifiers 1

OtherPA13678CA · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Oducado Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91744 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

FRIENDS OF FAMILY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
565 S AZUSA WAY
LA PUENTE, CA 91744
Los Angeles County (626) 913-4795

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 Carolyn Oducado's NPI number?

The NPI number for Carolyn Oducado is 1194934380. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Carolyn Oducado located?

Carolyn Oducado practices at 565 S Azusa Way, La Puente, CA 91744. The listed phone number is (626) 913-4795.

What is Carolyn Oducado's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carolyn Oducado enrolled in Medicare?

Yes. Carolyn Oducado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Oducado was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.