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MS. PRIYA DARSHNI JAGADEESAN
NPI 1770110587
General Practice in Los Angeles, CA

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
4867 W SUNSET BLVD, LOS ANGELES, CA 90027(833) 574-2273 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2025, May 12, 2025, Jun 27, 2024 and 2 more (5 updates tracked since 2020).

About Ms. Priya Darshni Jagadeesan NPPES

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

MS. PRIYA DARSHNI JAGADEESAN (NPI 1770110587) is an individual general practice provider in Los Angeles, California, licensed in California (A196681) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770110587
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMS. PRIYA DARSHNI JAGADEESAN
Location Address4867 W SUNSET BLVDLos Angeles, CA 90027-5969
Mailing Address3504 San EfrainMission, TX 78572-9753 · (956) 205-5575
Phone(833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateJune 27, 20255 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
✔ NPI 1770110587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A196681
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
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 and accepts Medicare assignment

Ms. Priya Darshni Jagadeesan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032531066
PECOS Enrollment IDI20250514003250
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 Priya Jagadeesan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
32 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Priya Jagadeesan's NPI number?

The NPI number for Priya Jagadeesan is 1770110587. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Priya Jagadeesan located?

Priya Jagadeesan practices at 4867 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (833) 574-2273.

What is Priya Jagadeesan's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Priya Jagadeesan enrolled in Medicare?

Yes. Priya Jagadeesan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Priya Jagadeesan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Jagadeesan reassigns Medicare benefits to Southern California Permanente Medical Group (Chino Hills, 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 Priya Jagadeesan'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 Priya Jagadeesan was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.