CATHERINE POURDAVOUD MD
NPI 1790145894
Pediatrics in Dublin, CA

Q: What is Catherine Pourdavoud's NPI number?

The NPI number for Catherine Pourdavoud is 1790145894. It was assigned to this individual provider in the NPPES registry on March 2, 2016.

Q: What is Catherine Pourdavoud's specialty?

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

Active since March 02, 2016PECOS Enrolled

4050 DUBLIN BLVD, DUBLIN, CA 94568(925) 875-6100 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2022, Dec 3, 2021, Aug 5, 2021 and 2 more (5 updates tracked since 2016).

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About Catherine Pourdavoud Md NPPES

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

CATHERINE POURDAVOUD MD (NPI 1790145894) is an individual pediatrics provider in Dublin, California, licensed in California (A166202) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790145894

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCATHERINE POURDAVOUDCredential: MD

Location Address4050 DUBLIN BLVDDublin, CA 94568-3112

Mailing Address43112 15th St WLancaster, CA 93534-6219

Phone(925) 875-6100

Sole ProprietorNo

Enumeration DateMarch 2, 2016

Last NPPES UpdateJanuary 17, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2025

✔ NPI 1790145894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A166202

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.

4050 DUBLIN BLVD, Dublin, CA 94568

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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 (PECOS)

Catherine Pourdavoud 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 Catherine Pourdavoud reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation

21 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

Southern California Permanente Medical Group

285 mi

Health Maintenance Organization

2103 E GONZALES RD
Oxnard, CA 93036

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1275756652 (805) 650-4700

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 94568 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

KIMBERLY H CHONG MD

Pediatrics