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ALISSA ANNE DETZ MD
NPI 1811211626
Internal Medicine in Los Angeles, CA

Active since March 23, 2010PECOS Enrolled
200 MEDICAL PLZ, 420, LOS ANGELES, CA 90095(310) 794-9809(310) 206-3551 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alissa Anne Detz Md NPPES

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

ALISSA ANNE DETZ MD (NPI 1811211626) is an individual internal medicine provider in Los Angeles, California, licensed in California (A110966) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2008).

NPPES Registry Identity

NPI1811211626
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALISSA ANNE DETZCredential: MD
Location Address200 MEDICAL PLZ, 420Los Angeles, CA 90095-0001
Mailing Address200 Medical Plz, 420Los Angeles, CA 90095-0001 · (310) 794-9809 · Fax (310) 206-3551
Phone(310) 794-9809
Fax(310) 206-3551
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2008
Enumeration DateMarch 23, 2010
Last NPPES UpdateAugust 31, 2012
✔ NPI 1811211626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A110966
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MEDICAL PLZ, Los Angeles, CA 90095
Open in Google Maps ↗

Other Identifiers 3

Medicare PINFF032YCA
Other1811211626CA · Medi-cal Ccs Paneled Provider
Medicaid1811211626CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Anne Detz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577732700
PECOS Enrollment IDI20110804000485
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 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

INGRID RODI M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
200 MEDICAL PLZ, 202
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7274
ARIE BELLDEGRUN MD
Urology
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 794-7700
JOEL AVRAM SERCARZ MD
Otolaryngology
200 MEDICAL PLZ, #550
LOS ANGELES, CA 90095
Los Angeles County (310) 206-6688
ROBERT KAIDA CHIN MD, PHD
Radiology (Radiation Oncology)
200 MEDICAL PLZ, SUITE B265
LOS ANGELES, CA 90095
Los Angeles County (310) 301-9775
LAWRENCE ANDREW YEATMAN MD
Internal Medicine (Cardiovascular Disease)
200 MEDICAL PLZ, #365,530,420,120
LOS ANGELES, CA 90095
Los Angeles County (310) 582-6220
HENRY K KAWAMOTO MD
Surgery
200 MEDICAL PLZ, STE 465
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5510
SHARON L HAME MD
Orthopaedic Surgery (Sports Medicine)
200 MEDICAL PLZ, SUITE 140
LOS ANGELES, CA 90095
Los Angeles County (310) 319-1234
DR. JOHN N. MAFI M.D.
Internal Medicine
200 MEDICAL PLZ, SUITE 365
LOS ANGELES, CA 90095
Los Angeles County (310) 794-2280

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 Alissa Detz's NPI number?

The NPI number for Alissa Detz is 1811211626. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Where is Alissa Detz located?

Alissa Detz practices at 200 Medical Plz 420, Los Angeles, CA 90095. The listed phone number is (310) 794-9809.

What is Alissa Detz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alissa Detz enrolled in Medicare?

Yes. Alissa Detz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Detz was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.