DR. MYKIE PIDOR MD
NPI 1366717621
Pediatrics in San Fernando, CA

Q: What is Mykie Pidor's NPI number?

The NPI number for Mykie Pidor is 1366717621. It was assigned to this individual provider in the NPPES registry on March 19, 2012.

Q: What is Mykie Pidor's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mykie Pidor was last updated on September 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 19, 2012PECOS Enrolled

1172 N MACLAY AVE, SAN FERNANDO, CA 91340(818) 432-4400 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mykie Pidor Md NPPES

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

DR. MYKIE PIDOR MD (NPI 1366717621) is an individual pediatrics provider in San Fernando, California, licensed in California (A120573) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366717621

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MYKIE PIDORCredential: MD

Location Address1172 N MACLAY AVESan Fernando, CA 91340-1328

Mailing Address1172 N Maclay AveSan Fernando, CA 91340-1328

Phone(818) 432-4400

Sole ProprietorNo

Enumeration DateMarch 19, 2012

Last NPPES UpdateSeptember 15, 2014

✔ NPI 1366717621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A120573

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1172 N MACLAY AVE, San Fernando, CA 91340

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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)

Dr. Mykie Pidor Md 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 Mykie Pidor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Valley Health Corporation

Same address

Federally Qualified Health Center (FQHC)

1172 N. MACLAY AVE.
San Fernando, CA 91340

Reassigned Medicare billing, California enrollment
218 clinicians in this Medicare group

NPI 1740437961 (818) 898-1388

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 91340 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 20

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

VICTORIA CURTIN LCSW

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