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DR. BOTHYNA FAYED SEDRAK M.D.
NPI 1750472965
Pediatrics in Lakewood, CA

Active since September 27, 2006PECOS Enrolled
3650 SOUTH ST, SUITE 209, LAKEWOOD, CA 90712(562) 634-1254 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bothyna Fayed Sedrak M.d. NPPES

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

DR. BOTHYNA FAYED SEDRAK M.D. (NPI 1750472965) is an individual pediatrics provider in Lakewood, California, licensed in California (A34882) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750472965
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BOTHYNA FAYED SEDRAKCredential: M.D.
Location Address3650 SOUTH ST, SUITE 209Lakewood, CA 90712-1502
Mailing Address3650 South St, Suite 209Lakewood, CA 90712-1502 · (562) 634-1254
Phone(562) 634-1254
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750472965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A34882
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.
3650 SOUTH ST, Lakewood, CA 90712
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Other Identifiers 1

Medicaid00A348820CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bothyna Fayed Sedrak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 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.

DR. JOEL DOUGLAS EPSTEIN M.D.
Internal Medicine (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2275
PROHEALTH PARTNERS A MEDICAL GROUP INC
Family Medicine
3650 SOUTH ST, SUITE 210
LAKEWOOD, CA 90712
Los Angeles County (562) 630-0910
DR. KYAW MOE MD
Internal Medicine (Nephrology)
3650 SOUTH ST, SUITE 101
LAKEWOOD, CA 90712
Los Angeles County (562) 286-6466
DR. MILAN GAURANG RAWAL M.D.
Internal Medicine (Cardiovascular Disease)
3650 SOUTH ST, SUITE 310
LAKEWOOD, CA 90712
Los Angeles County (562) 531-1980
DR. PADMANABHA S SHAKKOTTAI M.D.
Internal Medicine (Pulmonary Disease)
3650 SOUTH ST, SUITE 308
LAKEWOOD, CA 90712
Los Angeles County (562) 633-2204
ILANIT MARZOUK AUD
Hearing Instrument Specialist
3650 SOUTH ST, SUITE 208
LAKEWOOD, CA 90712
Los Angeles County (562) 790-8403
PAD S.KRISHNA MD INC
Orthopaedic Surgery
3650 SOUTH ST, SUITE #411
LAKEWOOD, CA 90712
Los Angeles County (562) 531-7757
SHYAM DAHIYA MD INC
Family Medicine
3650 SOUTH ST, SUITE 412
LAKEWOOD, CA 90712
Los Angeles County (562) 602-1012

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 Bothyna Sedrak's NPI number?

The NPI number for Bothyna Sedrak is 1750472965. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Bothyna Sedrak located?

Bothyna Sedrak practices at 3650 South St Suite 209, Lakewood, CA 90712. The listed phone number is (562) 634-1254.

What is Bothyna Sedrak's specialty?

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

Is Bothyna Sedrak enrolled in Medicare?

Yes. Bothyna Sedrak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bothyna Sedrak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.