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ANDREA FUMIKO HAWTHORNE D.O.
NPI 1649441973
Pediatrics in Los Angeles, CA

Active since March 14, 2008PECOS Enrolled
4867 W SUNSET BLVD, PEDIATRICS 5TH FLOOR, LOS ANGELES, CA 90027(323) 783-1502 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2021, May 11, 2016 (2 updates tracked since 2016).

About Andrea Fumiko Hawthorne D.o. NPPES

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

ANDREA FUMIKO HAWTHORNE D.O. (NPI 1649441973) is an individual pediatrics provider in Los Angeles, California, licensed in California (20A10287) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649441973
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameANDREA FUMIKO HAWTHORNECredential: D.O.
Location Address4867 W SUNSET BLVD, PEDIATRICS 5TH FLOORLos Angeles, CA 90027-5969
Mailing Address5318 West BlvdLos Angeles, CA 90043-2416 · (626) 260-1833
Phone(323) 783-1502
Sole ProprietorYes
Enumeration DateMarch 14, 2008
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1649441973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A10287
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.
4867 W SUNSET BLVD, Los Angeles, CA 90027
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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)

Andrea Fumiko Hawthorne D.o. 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 Andrea Hawthorne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.1 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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 90027 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.

CHRISELDA MANALO
Nurse Practitioner (Gerontology)
4867 W SUNSET BLVD, 6TH FLOOR - INTENSIVE CARE UNIT
LOS ANGELES, CA 90027
Los Angeles County (323) 783-9644
HEDDY TRAC
Respiratory Therapist, Certified
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8320
DAVID HWANG DO
Internal Medicine (Nephrology)
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
SOPHIA ROCHELLE WILSON DNP, CRNA
Nurse Anesthetist, Certified Registered
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (276) 734-1219
MRS. ALEXANDRA FELDMAN
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8308
ALLISON BRIEL GROSSMAN SLP
Speech-Language Pathologist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
MISS SERENA LI
Pharmacist
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1546
MICHAEL INDUCIL RCP
Respiratory Therapist, Registered
4867 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-8320

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 Andrea Hawthorne's NPI number?

The NPI number for Andrea Hawthorne is 1649441973. It was assigned to this individual provider in the NPPES registry on March 14, 2008.

Where is Andrea Hawthorne located?

Andrea Hawthorne practices at 4867 W Sunset Blvd Pediatrics 5th Floor, Los Angeles, CA 90027. The listed phone number is (323) 783-1502.

What is Andrea Hawthorne's specialty?

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

Is Andrea Hawthorne enrolled in Medicare?

Yes. Andrea Hawthorne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Hawthorne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hawthorne reassigns Medicare benefits to Southern California Permanente Medical Group (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 Andrea Hawthorne'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 Andrea Hawthorne was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.