1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Ophthalmology
  6. NPI Profile

DR. BRIAN THEODORE SOETIKNO MD, PHD
NPI 1316338080
Ophthalmology in Los Angeles, CA

Active since February 16, 2015PECOS EnrolledAccepts Medicare Assignment
100 STEIN PLZ, LOS ANGELES, CA 90095(310) 825-3090(310) 206-5673 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2025, Apr 1, 2025 (2 updates tracked since 2025).

About Dr. Brian Theodore Soetikno Md, Phd NPPES

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

DR. BRIAN THEODORE SOETIKNO MD, PHD (NPI 1316338080) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A181412) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316338080
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRIAN THEODORE SOETIKNOCredential: MD, PHD
Location Address100 STEIN PLZLos Angeles, CA 90095-4053
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-3090
Fax(310) 206-5673
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 16, 2015
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1316338080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A181412
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License A181412 (CA)
100 STEIN PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

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

Dr. Brian Theodore Soetikno 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.

PECOS PAC ID749703189
PECOS Enrollment IDI20250519000534
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 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 20

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

DR. STEPHAN YUAN-YEE CHIU M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
KELSEY ANDREA ROELOFS MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
KETAKI MILIND PANSE MD
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
JONATHAN HESTON
Ophthalmology
100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
SHERWIN ISENBERG M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8840
MR. ROGER DUNCAN JOHNSON JR. M.D.
Ophthalmology
100 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
BRIAN ADRIAN LEE M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090
JAFFER MUHANNAD KATTAN M.D.
Ophthalmology
100 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3090

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 Brian Soetikno's NPI number?

The NPI number for Brian Soetikno is 1316338080. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Brian Soetikno located?

Brian Soetikno practices at 100 Stein Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-3090.

What is Brian Soetikno's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Soetikno enrolled in Medicare?

Yes. Brian Soetikno 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 Brian Soetikno was last updated on July 1, 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.