PETRA ELIZABETH JANS PEDERSON MD, PHD
NPI 1285377697
Internal Medicine in La Jolla, CA
About Petra Elizabeth Jans Pederson Md, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETRA ELIZABETH JANS PEDERSON MD, PHD (NPI 1285377697) is an individual internal medicine provider in La Jolla, California, licensed in California (A191033) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Petra Elizabeth Jans Pederson Md, Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA JOLLA, CA 92037
LA JOLLA, CA 92037
LA JOLLA, CA 92037
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 Petra Pederson's NPI number?
The NPI number for Petra Pederson is 1285377697. It was assigned to this individual provider in the NPPES registry on April 14, 2022.
Where is Petra Pederson located?
Petra Pederson practices at 10710 N Torrey Pines Rd, La Jolla, CA 92037. The listed phone number is (858) 554-7272.
What is Petra Pederson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Petra Pederson enrolled in Medicare?
Yes. Petra Pederson 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.
When was this NPI record last updated?
The NPPES record for Petra Pederson was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Petra Elizabeth Jans Pederson, MD, PHD · NPI 1285377697
Internal Medicine physician in La Jolla, California. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1285377697 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A191033 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10710 N TORREY PINES RD, La Jolla, CA 92037-1035
- **Phone:** (858) 554-7272
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285377697) · Data from the CMS NPPES public registry.