DR. PARVATHY THAIKKENDIYIL MD
NPI 1770774622
Pediatrics in Stockton, CA

Q: What is Parvathy Thaikkendiyil's NPI number?

The NPI number for Parvathy Thaikkendiyil is 1770774622. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Q: What is Parvathy Thaikkendiyil's specialty?

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

Active since August 06, 2007PECOS Enrolled

1414 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-6820 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 20, 2017, Jan 30, 2017 (2 updates tracked since 2017).

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About Dr. Parvathy Thaikkendiyil Md NPPES

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

DR. PARVATHY THAIKKENDIYIL MD (NPI 1770774622) is an individual pediatrics provider in Stockton, California, licensed in California (C56108) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770774622

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. PARVATHY THAIKKENDIYILCredential: MD

Location Address1414 N CALIFORNIA STStockton, CA 95202-1515

Mailing Address1414 N California StStockton, CA 95202-1515 · (209) 468-6820

Phone(209) 468-6820

Sole ProprietorNo

Enumeration DateAugust 6, 2007

Last NPPES UpdateFebruary 20, 20172 updates tracked since enumeration

✔ NPI 1770774622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in CA · C56108✔ Licensed in IL · 36117972

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.

1414 N CALIFORNIA ST, Stockton, CA 95202

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Other Identifiers 1

OtherC56108CA · License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Parvathy Thaikkendiyil Md 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 Reassignments

Medicare enrollment records show Parvathy Thaikkendiyil reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of San Joaquin

Same address

Multi-Specialty

1414 NORTH CALIFORNIA STREET SUITE C
Stockton, CA 95202

Reassigned Medicare billing, California enrollment
534 clinicians in this Medicare group

NPI 1891036612 (209) 953-6400

San Joaquin Faculty Medical Group

5.6 mi

Internal Medicine

500 HOSPITAL RD
French Camp, CA 95231

Reassigned Medicare billing, California enrollment
512 clinicians in this Medicare group

NPI 1225063761 (209) 473-6555

Lpch Medical Group Div Of Lucile

61 mi

Children

725 WELCH RD
Palo Alto, CA 94304

Reassigned Medicare billing, California enrollment
3,617 clinicians in this Medicare group

NPI 1417907940 (650) 498-6762

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 95202 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

MARITZA JUACHE

Day Training/Habilitation Specialist