DR. LUCIETTE SAAD-BOTROS M.D.
NPI 1336135797
Obstetrics & Gynecology in Los Angeles, CA

Active since September 21, 2005PECOS Enrolled
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2120(323) 857-3946 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Luciette Saad-botros M.d. NPPES

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

DR. LUCIETTE SAAD-BOTROS M.D. (NPI 1336135797) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A75553) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336135797
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. LUCIETTE SAAD-BOTROSCredential: M.D.
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2120 · Fax (323) 857-3946
Fax(323) 857-3946
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateDecember 1, 2021
✔ NPI 1336135797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A75553
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6041 CADILLAC AVE, Los Angeles, CA 90034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luciette Saad-botros M.d. 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 Luciette Saad-botros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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 90034 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.

Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034

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 Luciette Saad-botros's NPI number?

The NPI number for Luciette Saad-botros is 1336135797. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Luciette Saad-botros located?

Luciette Saad-botros practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2120.

What is Luciette Saad-botros's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Luciette Saad-botros enrolled in Medicare?

Yes. Luciette Saad-botros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luciette Saad-botros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luciette Saad-botros reassigns Medicare benefits to Southern California Permanente Medical Group (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 Luciette Saad-botros'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 Luciette Saad-botros was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.