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LAURA GANCEDO M.D.
NPI 1689667404
Pediatrics in Los Angeles, CA

Active since August 26, 2005PECOS Enrolled
4815 VALLEY BLVD STE C, LOS ANGELES, CA 90032(323) 222-1134(323) 221-4506 Get Directions Write a Review

NPPES record last updated: January 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laura Gancedo M.d. NPPES

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

LAURA GANCEDO M.D. (NPI 1689667404) is an individual pediatrics provider in Los Angeles, California, licensed in California (G 74088) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689667404
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAURA GANCEDOCredential: M.D.
Location Address4815 VALLEY BLVD STE CLos Angeles, CA 90032-3300
Mailing Address6000 N Figueroa StLos Angeles, CA 90042-4232 · (323) 254-5221 · Fax (323) 254-4618
Phone(323) 222-1134
Fax(323) 221-4506
Sole ProprietorNo
Enumeration DateAugust 26, 2005
Last NPPES UpdateJanuary 12, 2012
✔ NPI 1689667404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G 74088
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.
4815 VALLEY BLVD STE C, Los Angeles, CA 90032
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Other Identifiers 1

Medicare UPINF 58522CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura Gancedo M.d. 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 Laura Gancedo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arroyo Vista Family Health Foundation
Same address
Federally Qualified Health Center (FQHC)
4815 VALLEY BLVD, SUITE C
Los Angeles, CA 90032
  • Reassigned Medicare billing, California enrollment
  • 61 clinicians in this Medicare group
NPI 1316088479 (323) 222-1134

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 90032 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 2

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

ANGELA TREINEN
Family Medicine
4815 VALLEY BLVD STE C
LOS ANGELES, CA 90032
Los Angeles County (323) 222-1134
TRICIA CULVERHOUSE N.P.
Nurse Practitioner
4815 VALLEY BLVD STE C
LOS ANGELES, CA 90032
Los Angeles County (323) 222-1134

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 Laura Gancedo's NPI number?

The NPI number for Laura Gancedo is 1689667404. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Laura Gancedo located?

Laura Gancedo practices at 4815 Valley Blvd Ste C, Los Angeles, CA 90032. The listed phone number is (323) 222-1134.

What is Laura Gancedo's specialty?

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

Is Laura Gancedo enrolled in Medicare?

Yes. Laura Gancedo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Gancedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Gancedo reassigns Medicare benefits to Arroyo Vista Family Health Foundation (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 Laura Gancedo'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 Laura Gancedo was last updated on January 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.