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KELSEY JOHNSON
NPI 1669977633
Pediatrics in Los Angeles, CA

Active since March 29, 2018PECOS Enrolled
4650 SUNSET BLVD, MS#94, LOS ANGELES, CA 90027(323) 361-6177 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2026, Aug 20, 2021, Mar 29, 2018 (3 updates tracked since 2018).

About Kelsey Johnson NPPES

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

KELSEY JOHNSON (NPI 1669977633) is an individual pediatrics provider in Los Angeles, California, licensed in California (A166774) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669977633
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELSEY JOHNSON
Location Address4650 SUNSET BLVD, MS#94Los Angeles, CA 90027
Mailing Address4650 Sunset Blvd, Ms#94Los Angeles, CA 90027 · (323) 361-6177
Phone(323) 361-6177
Sole ProprietorYes
Enumeration DateMarch 29, 2018
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1669977633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A166774
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.
4650 SUNSET BLVD, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Johnson 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.

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.

ROWENA CAYABYAB MD
Pediatrics (Neonatal-Perinatal Medicine)
4650 SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 226-3406
CAMERON LEIGH NEECE M.A.
Counselor (Mental Health)
4650 SUNSET BLVD, MAILSTOP 53
LOS ANGELES, CA 90027
Los Angeles County (510) 453-4274
MR. ROY VILLENA TATLONGHARI RN-CANP
Nurse Practitioner (Adult Health)
4650 SUNSET BLVD, MS 125
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2533
MRS. WENDY SETO LEUNG CRNP
Nurse Practitioner (Pediatrics)
4650 SUNSET BLVD, MAIL STOP #54
LOS ANGELES, CA 90027
Los Angeles County (323) 361-4141
JILL MARIE MADISON-BUTTE RD REGISTERED DIETIT
Dietitian, Registered
4650 SUNSET BLVD, MAIL STOP 8
LOS ANGELES, CA 90027
Los Angeles County (323) 361-4173
JENNIFER SCHIES SAUVE PH.D.
Psychologist (Clinical Child & Adolescent)
4650 SUNSET BLVD, MS 53 CHILDRENS HOSPITAL LOS ANGELES
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
REBECCA LYN WYNSMA
Psychologist
4650 SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Los Angeles County (323) 361-3849
SUSAN WU MD
Pediatrics
4650 SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 669-2534

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 Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1669977633. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Kelsey Johnson located?

Kelsey Johnson practices at 4650 Sunset Blvd Ms#94, Los Angeles, CA 90027. The listed phone number is (323) 361-6177.

What is Kelsey Johnson's specialty?

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

Is Kelsey Johnson enrolled in Medicare?

Yes. Kelsey Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Johnson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.