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TERESIA MCCOLLISTER
NPI 1336132166
Family Medicine in Los Angeles, CA

Active since August 26, 2005PECOS Enrolled
2411 N BROADWAY, LOS ANGELES, CA 90031(323) 987-2000(323) 987-1448 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teresia Mccollister NPPES

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

TERESIA MCCOLLISTER (NPI 1336132166) is an individual family medicine provider in Los Angeles, California, licensed in California (RN 268022) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336132166
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTERESIA MCCOLLISTER
Location Address2411 N BROADWAYLos Angeles, CA 90031-2218
Mailing Address6000 N Figueroa StLos Angeles, CA 90042-4232 · (323) 254-5221 · Fax (323) 254-4618
Phone(323) 987-2000
Fax(323) 987-1448
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateFebruary 1, 2012
✔ NPI 1336132166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · RN 268022
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2411 N BROADWAY, Los Angeles, CA 90031
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresia Mccollister 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.

Medicare Billing Reassignment

Medicare enrollment records show Teresia Mccollister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arroyo Vista Family Health Foundation
Same address
Federally Qualified Health Center (FQHC)
2411 N. BROADWAY
Los Angeles, CA 90031
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1174665905 (323) 987-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90031 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.

Other Providers at the Same Location NPPES 12

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

DR. EVELYN BRIDGET CRUZ SNEED DDS
Dentist (General Practice)
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 254-5291
DR. VICTORIA RACHELE ROSSI-CAMPAGNA O.D.
Optometrist
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2070
CAROLINA ANGELICA SAUCEDO FNP-BC
Nurse Practitioner (Family)
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
ANH HUU NGUYEN M.D.
Family Medicine
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
PENSRI SMITHEDAJKUL
Nurse Practitioner (Family)
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
DR. DIALA FADDOUL MD
Pediatrics
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
NICOLE MORRISON DMD
Dentist
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000
DR. HUGH BACH M.D.
Family Medicine
2411 N BROADWAY
LOS ANGELES, CA 90031
Los Angeles County (323) 987-2000

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 Teresia Mccollister's NPI number?

The NPI number for Teresia Mccollister is 1336132166. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Teresia Mccollister located?

Teresia Mccollister practices at 2411 N Broadway, Los Angeles, CA 90031. The listed phone number is (323) 987-2000.

What is Teresia Mccollister's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Teresia Mccollister enrolled in Medicare?

Yes. Teresia Mccollister is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresia Mccollister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresia Mccollister reassigns Medicare benefits to Arroyo Vista Family Health Foundation (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Teresia Mccollister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teresia Mccollister was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.