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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAELLE LOUISE PETERSON
NPI 1619679552
Pediatrics in Los Angeles, CA

Active since March 21, 2023PECOS Enrolled
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 794-5066 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2026, Apr 23, 2026, Mar 21, 2023 (3 updates tracked since 2023).

About Laelle Louise Peterson NPPES

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

LAELLE LOUISE PETERSON (NPI 1619679552) is an individual pediatrics provider in Los Angeles, California, licensed in California (A206752) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619679552
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAELLE LOUISE PETERSON
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-0867
Fax(310) 794-5066
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1619679552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A206752
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.
200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095
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Secondary Practice Location 1

Location 1757 Westwood Plz Rm 3108Los Angeles, CA 90095-1752 · Phone (310) 267-9124

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laelle Louise Peterson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335619972
PECOS Enrollment IDI20260602003161
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 90095 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.

MICHAEL R RECTO MD
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
TALIN BABIKIAN PHD
Psychologist (Clinical)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. RISHMA CHAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. ELLEN MILLER CAMPBELL MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
EMMA DOROTHY BURDEKIN
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SARA RICHARDS MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SUKSHMA REDDY SREEPATHI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. CHRISTIAN STUART MCEVOY MD, MPH
Surgery (Pediatric Surgery)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5904

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 Laelle Peterson's NPI number?

The NPI number for Laelle Peterson is 1619679552. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Laelle Peterson located?

Laelle Peterson practices at 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Laelle Peterson's specialty?

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

Is Laelle Peterson enrolled in Medicare?

Yes. Laelle Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Laelle Peterson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.