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DR. TYISHA LYNN SEYMOUR M.D.
NPI 1568775682
Pediatrics in Culver City, CA

Active since July 18, 2010PECOS Enrolled
3831 HUGHES AVE STE 601, CULVER CITY, CA 90232(310) 838-4048(310) 425-8091 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Mar 22, 2021 (2 updates tracked since 2021).

About Dr. Tyisha Lynn Seymour M.d. NPPES

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

DR. TYISHA LYNN SEYMOUR M.D. (NPI 1568775682) is an individual pediatrics provider in Culver City, California, licensed in California (A120623) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568775682
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TYISHA LYNN SEYMOURCredential: M.D.
Location Address3831 HUGHES AVE STE 601Culver City, CA 90232-6844
Mailing Address3653 S Sepulveda Blvd Apt 3Los Angeles, CA 90034-6819
Phone(310) 838-4048
Fax(310) 425-8091
Sole ProprietorNo
Enumeration DateJuly 18, 2010
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1568775682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A120623
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.
3831 HUGHES AVE STE 601, Culver City, CA 90232
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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. Tyisha Lynn Seymour M.d. 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 Reassignments

2

Medicare enrollment records show Tyisha Seymour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Johns Community Health
3.8 mi
Community Health
4251 CRENSHAW BLVD
Los Angeles, CA 90008
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: St. John's Community Health
  • 404 clinicians in this Medicare group
NPI 1417469495 (323) 541-1600
Complete Care Community Health Center, Inc
11 mi
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
2928 E CESAR E CHAVEZ AVE
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 88 clinicians in this Medicare group
NPI 1215113964 (323) 266-6700

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 90232 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 4

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

MARGO PATRICIA DELEAVER M.D.
Pediatrics
3831 HUGHES AVE STE 601
CULVER CITY, CA 90232
Los Angeles County (310) 838-4048
HUBERT ANTHONY RUSSELL M.D.
Pediatrics
3831 HUGHES AVE STE 601
CULVER CITY, CA 90232
Los Angeles County (310) 204-0223
COMPLETE CARE COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
3831 HUGHES AVE STE 601
CULVER CITY, CA 90232
Los Angeles County (310) 204-0223
ANGELIA ARDALAN PA-C
Physician Assistant
3831 HUGHES AVE STE 601
CULVER CITY, CA 90232
Los Angeles County (310) 204-0223

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 Tyisha Seymour's NPI number?

The NPI number for Tyisha Seymour is 1568775682. It was assigned to this individual provider in the NPPES registry on July 18, 2010.

Where is Tyisha Seymour located?

Tyisha Seymour practices at 3831 Hughes Ave Ste 601, Culver City, CA 90232. The listed phone number is (310) 838-4048.

What is Tyisha Seymour's specialty?

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

Is Tyisha Seymour enrolled in Medicare?

Yes. Tyisha Seymour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tyisha Seymour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyisha Seymour reassigns Medicare benefits to 2 organizations: St. Johns Community Health (Los Angeles, CA) and Complete Care Community Health Center, Inc (Los Angeles, CA). Each 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 Tyisha Seymour'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 Tyisha Seymour was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.