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MARY TUTERYAN PA-C
NPI 1306408034
Physician Assistant in Pasadena, CA

Active since July 02, 2019PECOS Enrolled
3160 E DEL MAR BLVD STE 100, PASADENA, CA 91107(626) 398-6300 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2019, Nov 25, 2019, Aug 26, 2019 and 1 more (4 updates tracked since 2019).

About Mary Tuteryan Pa-c NPPES

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

MARY TUTERYAN PA-C (NPI 1306408034) is an individual physician assistant in Pasadena, California and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306408034
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY TUTERYANCredential: PA-C
Location Address3160 E DEL MAR BLVD STE 100Pasadena, CA 91107-4649
Mailing Address3160 E Del Mar Blvd Ste 100Pasadena, CA 91107-4649 · (626) 398-6300
Phone(626) 398-6300
Sole ProprietorYes
Enumeration DateJuly 2, 2019
Last NPPES UpdateDecember 9, 20194 updates tracked since enumeration
✔ NPI 1306408034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3160 E DEL MAR BLVD STE 100, Pasadena, CA 91107
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Secondary Practice Locations 2

Location 112431 Erwin StNorth Hollywood, CA 91606-4508 · Phone (818) 624-1274
Location 26330 San Vicente Blvd Ste 305Los Angeles, CA 90048-5449 · Phone (323) 525-0330

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Tuteryan Pa-c 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 91107 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.

CECILIA SANTOS CABRERA RD
Dietitian, Registered
3160 E DEL MAR BLVD STE 100
PASADENA, CA 91107
Los Angeles County (626) 398-6300

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 Mary Tuteryan's NPI number?

The NPI number for Mary Tuteryan is 1306408034. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Mary Tuteryan located?

Mary Tuteryan practices at 3160 E Del Mar Blvd Ste 100, Pasadena, CA 91107. The listed phone number is (626) 398-6300.

What is Mary Tuteryan's specialty?

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

Is Mary Tuteryan enrolled in Medicare?

Yes. Mary Tuteryan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Tuteryan was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.