DR. VIVIANA MARCELA FAJARDO MARTINEZ MD
NPI 1356601793
Pediatrics in Los Angeles, CA
About Dr. Viviana Marcela Fajardo Martinez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIVIANA MARCELA FAJARDO MARTINEZ MD (NPI 1356601793) is an individual pediatrics provider in Los Angeles, California, licensed in California (136292) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Viviana Marcela Fajardo Martinez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Viviana Fajardo Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 323 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 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Viviana Fajardo Martinez's NPI number?
The NPI number for Viviana Fajardo Martinez is 1356601793. It was assigned to this individual provider in the NPPES registry on May 19, 2012. The provider is also known as Dr. Viviana Marcela Fajardo MD.
Where is Viviana Fajardo Martinez located?
Viviana Fajardo Martinez practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.
What is Viviana Fajardo Martinez's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Viviana Fajardo Martinez enrolled in Medicare?
Yes. Viviana Fajardo Martinez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Viviana Fajardo Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Viviana Fajardo Martinez reassigns Medicare benefits to Uc Regents (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 Viviana Fajardo Martinez'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 Viviana Fajardo Martinez was last updated on May 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Viviana Marcela Fajardo Martinez, MD · NPI 1356601793
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since May 19, 2012.
## Identity
- **NPI:** 1356601793 (Entity type: Individual)
- **Enumerated:** May 19, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 136292 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10833 LE CONTE AVE, Los Angeles, CA 90095-3328
- **Phone:** (310) 825-0867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Uc Regents (NPI 1982667663, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 11, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1356601793) · Data from the CMS NPPES public registry.