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THEODRIC TODD MD
NPI 1649909870
Family Medicine in Inglewood, CA

Active since June 04, 2022PECOS Enrolled
110 N LA BREA AVE, INGLEWOOD, CA 90301(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theodric Todd Md NPPES

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

THEODRIC TODD MD (NPI 1649909870) is an individual family medicine provider in Inglewood, California, licensed in California (A203262) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1649909870
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODRIC TODDCredential: MD
Location Address110 N LA BREA AVEInglewood, CA 90301-1708
Mailing Address110 N La Brea AveInglewood, CA 90301-1708 · (833) 574-2273
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 4, 2022
Last NPPES UpdateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
✔ NPI 1649909870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A203262
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
110 N LA BREA AVE, Inglewood, CA 90301
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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)

Theodric Todd Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577942069
PECOS Enrollment IDI20251030004366
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 Theodric Todd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.7 mi
Health Maintenance Organization
3471 W CENTURY BLVD
Inglewood, CA 90303
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1821635079 (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 90301 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 10

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

HAEIN KIM MD
Family Medicine
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (833) 574-2273
GABRIELLA LUCILLE VICTOR MD, MPH
Pediatrics
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (833) 574-2273
KEITH E DAMSKER MD
Internal Medicine
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 419-3340
PETER TAM PT
Physical Therapist
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 419-3386
DIOSALYN ALONZO
Pharmacist
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (866) 391-2678
NORMA SANCHEZ MD
Family Medicine
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (800) 954-8000
MS. LATOYA R. COURTNEY-REINHOLD N.P.
Nurse Practitioner (Family)
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (310) 419-3324
JULIA MARIE PRATT-ELKUS M.D.
Pediatrics
110 N LA BREA AVE
INGLEWOOD, CA 90301
Los Angeles County (323) 823-7680

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 Theodric Todd's NPI number?

The NPI number for Theodric Todd is 1649909870. It was assigned to this individual provider in the NPPES registry on June 4, 2022.

Where is Theodric Todd located?

Theodric Todd practices at 110 N La Brea Ave, Inglewood, CA 90301. The listed phone number is (833) 574-2273.

What is Theodric Todd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodric Todd enrolled in Medicare?

Yes. Theodric Todd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodric Todd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodric Todd reassigns Medicare benefits to Southern California Permanente Medical Group (Inglewood, 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 Theodric Todd'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 Theodric Todd was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.