ELIZABETH ALLISON VAN DYNE M.D.
NPI 1235499161
Pediatrics in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

Active since May 25, 2012PECOS Enrolled

4700 W SUNSET BLVD, MODULE 4-B, LOS ANGELES, CA 90027(800) 954-8000 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Elizabeth Allison Van Dyne M.d. NPPES

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

ELIZABETH ALLISON VAN DYNE M.D. (NPI 1235499161) is an individual pediatrics provider in Los Angeles, California, licensed in California (A119828) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235499161

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameELIZABETH ALLISON VAN DYNECredential: M.D.

Location Address4700 W SUNSET BLVD, MODULE 4-BLos Angeles, CA 90027-6082

Mailing Address4700 W Sunset Blvd, Module 4-bLos Angeles, CA 90027-6082 · (800) 954-8000

Phone(800) 954-8000

Sole ProprietorNo

Enumeration DateMay 25, 2012

✔ NPI 1235499161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A119828

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.

4700 W SUNSET BLVD, Los Angeles, CA 90027

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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 (PECOS)

Elizabeth Allison Van Dyne M.d. 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 90027 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.