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MITALI DAVE
NPI 1376292904
Pediatrics in Los Angeles, CA

Active since March 21, 2022PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90089(424) 306-4000 Get Directions Write a Review

NPPES record last updated: August 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitali Dave NPPES

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

MITALI DAVE (NPI 1376292904) is an individual pediatrics provider in Los Angeles, California, licensed in California (20A21935) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1376292904
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMITALI DAVE
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address1200 N State StLos Angeles, CA 90089-1001
Phone(424) 306-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2022
Last NPPES UpdateAugust 24, 2025
NPPES CertifiedAugust 24, 2025
✔ NPI 1376292904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A21935
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1200 N STATE ST, Los Angeles, CA 90089
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitali Dave is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830690320
PECOS Enrollment IDI20250827002848
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 90089 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.

DR. EISHA ANNE CHRISTIAN MD
Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7421
LAURA MARIA VELEZ TURIZO MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7053
DR. CASSIDY BENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (626) 825-4601
ARGEREY STAPAKIS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
ANH-THO ANTOINETTE THI NGUYEN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (714) 309-6525
JESSICA HONG
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7556
JOOYEON KIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 341-3128
MELISSA GRACE MYO MD
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6240

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 Mitali Dave's NPI number?

The NPI number for Mitali Dave is 1376292904. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Mitali Dave located?

Mitali Dave practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (424) 306-4000.

What is Mitali Dave's specialty?

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

Is Mitali Dave enrolled in Medicare?

Yes. Mitali Dave is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mitali Dave was last updated on August 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.