DR. PETER S THEODORE PHD
NPI 1487080651
Psychologist in Los Angeles, CA
About Dr. Peter S Theodore Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PETER S THEODORE PHD (NPI 1487080651) is an individual psychologist in Los Angeles, California, licensed in California (PSY22511) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Peter S Theodore Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Peter Theodore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90036
- Reassigned Medicare billing, California enrollment
- 34 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
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 Peter Theodore's NPI number?
The NPI number for Peter Theodore is 1487080651. It was assigned to this individual provider in the NPPES registry on September 19, 2013.
Where is Peter Theodore located?
Peter Theodore practices at 116 N Robertson Blvd 805, Los Angeles, CA 90048. The listed phone number is (626) 270-3351.
What is Peter Theodore's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Peter Theodore enrolled in Medicare?
Yes. Peter Theodore is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Peter Theodore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Theodore reassigns Medicare benefits to Apla Health & Wellness (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 Peter Theodore'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 Peter Theodore was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.