TERESIA MCCOLLISTER
NPI 1336132166
Family Medicine in Los Angeles, CA

Q: 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.

Q: What is Teresia Mccollister's specialty?

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

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: August 09, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)