JACOB B PELTA MD
NPI 1477664217
Internal Medicine - Rheumatology in Los Angeles, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
6360 WILSHIRE BLVD, SUITE # 501, LOS ANGELES, CA 90048(323) 653-6166(323) 653-6171 Get Directions Write a Review

NPPES record last updated: October 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob B Pelta Md NPPES

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

JACOB B PELTA MD (NPI 1477664217) is an individual rheumatology provider in Los Angeles, California, licensed in California (G23606) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1971).

NPPES Registry Identity

NPI1477664217
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJACOB B PELTACredential: MD
Location Address6360 WILSHIRE BLVD, SUITE # 501Los Angeles, CA 90048-5603
Mailing Address6360 Wilshire Blvd, Suite # 501Los Angeles, CA 90048-5603 · (323) 653-6166 · Fax (323) 653-6171
Fax(323) 653-6171
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1971
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 4, 2010
NPI 1477664217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · G23606
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6360 WILSHIRE BLVD, Los Angeles, CA 90048

Other Identifiers 1

Medicare UPINA90833CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob B Pelta Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345421285
PECOS Enrollment IDI20110224000571
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$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.

Physical Therapist
6360 WILSHIRE BLVD, 302
LOS ANGELES, CA 90048
Speech-Language Pathologist
6360 WILSHIRE BLVD, SUITE 300
LOS ANGELES, CA 90048
Audiologist-Hearing Aid Fitter
6360 WILSHIRE BLVD, SUITE 203
LOS ANGELES, CA 90048
Chiropractor
6360 WILSHIRE BLVD, STE 210
LOS ANGELES, CA 90048
Dentist (Oral and Maxillofacial Surgery)
6360 WILSHIRE BLVD, SUITE 403
LOS ANGELES, CA 90048
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6360 WILSHIRE BLVD, SUITE 202
LOS ANGELES, CA 90048
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6360 WILSHIRE BLVD, SUITE 202
LOS ANGELES, CA 90048
Internal Medicine
6360 WILSHIRE BLVD, SUITE # 501
LOS ANGELES, CA 90048

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 Jacob Pelta's NPI number?

The NPI number for Jacob Pelta is 1477664217. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jacob Pelta located?

Jacob Pelta practices at 6360 Wilshire Blvd Suite # 501, Los Angeles, CA 90048. The listed phone number is (323) 653-6166.

What is Jacob Pelta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jacob Pelta enrolled in Medicare?

Yes. Jacob Pelta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Pelta was last updated on October 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.