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BRENDA ELIZABETH PELAYO MD
NPI 1629537691
Pediatrics in Los Angeles, CA

Active since March 18, 2019PECOS Enrolled
1465 E 103RD ST, LOS ANGELES, CA 90002(833) 574-2273 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 5, 2024, Jun 9, 2022, Mar 18, 2019 (3 updates tracked since 2019).

About Brenda Elizabeth Pelayo Md NPPES

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

BRENDA ELIZABETH PELAYO MD (NPI 1629537691) is an individual pediatrics provider in Los Angeles, California, licensed in California (A179428) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629537691
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameBRENDA ELIZABETH PELAYOCredential: MD
Location Address1465 E 103RD STLos Angeles, CA 90002-3306
Mailing Address1414 Garfield AveCommerce, CA 90022-5420 · (323) 246-3191
Phone(833) 574-2273
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 25, 20243 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1629537691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A179428
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.
1465 E 103RD ST, Los Angeles, CA 90002
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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)

Brenda Elizabeth Pelayo Md 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 Reassignment

Medicare enrollment records show Brenda Pelayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.4 mi
Health Maintenance Organization
2700 W 120TH ST
Hawthorne, CA 90250
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1164914115 (877) 608-0044

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 90002 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 7

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

MS. TAWNY MARIE NOCON-PATALINJUG MD
Internal Medicine
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (833) 574-2273
JOSE M CHAVEZ ED.D., BCET, ADHD-CE
Case Manager/Care Coordinator
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (323) 564-7911
MS. KATRICE JEWELEAN JACKSON LCSW
Social Worker (Clinical)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (323) 564-7911
MYRIAH HENDERSON-BASKIN
Counselor (Mental Health)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (833) 574-2273
JOHN MANUEL CLAROS LCSW
Social Worker (Clinical)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (562) 807-6200
ALFRED JAMES MCCLOUD LCSW
Social Worker
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (323) 564-7911
SOFIA GONZALEZ
Family Medicine (Adult Medicine)
1465 E 103RD ST
LOS ANGELES, CA 90002
Los Angeles County (213) 685-7111

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 Brenda Pelayo's NPI number?

The NPI number for Brenda Pelayo is 1629537691. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Brenda Pelayo located?

Brenda Pelayo practices at 1465 E 103rd St, Los Angeles, CA 90002. The listed phone number is (833) 574-2273.

What is Brenda Pelayo's specialty?

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

Is Brenda Pelayo enrolled in Medicare?

Yes. Brenda Pelayo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brenda Pelayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Pelayo reassigns Medicare benefits to Southern California Permanente Medical Group (Hawthorne, 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 Brenda Pelayo'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 Brenda Pelayo was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.