IVANNA NATASHA MAXSON MD
NPI 1821444571
Pediatrics - Pediatric Critical Care Medicine in Los Angeles, CA

Active since May 12, 2016PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 794-5066 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Aug 30, 2022, Jul 12, 2019 and 1 more (4 updates tracked since 2016).

About Ivanna Natasha Maxson Md NPPES

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

IVANNA NATASHA MAXSON MD (NPI 1821444571) is an individual pediatric critical care medicine provider in Los Angeles, California, licensed in Texas (S2110) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2016).

NPPES Registry Identity

NPI1821444571
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameIVANNA NATASHA MAXSONCredential: MD
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-2351
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5631
Fax(310) 794-5066
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2016
Enumeration DateMay 12, 2016
Last NPPES UpdateAugust 28, 20234 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1821444571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in TX · S2110
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095

Secondary Practice Locations 3

Location 16651 Main StHouston, TX 77030-2351 · Phone (832) 824-1000
Location 21 Baylor Plz # Bcm320Houston, TX 77030-3411 · Phone (713) 798-4780
Location 311234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-6131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ivanna Natasha Maxson Md 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 ID1759741911
PECOS Enrollment IDI20230719002454
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.

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.

Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Psychologist (Clinical)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Surgery (Pediatric Surgery)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095

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 Ivanna Maxson's NPI number?

The NPI number for Ivanna Maxson is 1821444571. It was assigned to this individual provider in the NPPES registry on May 12, 2016.

Where is Ivanna Maxson located?

Ivanna Maxson practices at 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Ivanna Maxson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Ivanna Maxson enrolled in Medicare?

Yes. Ivanna Maxson 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.

When was this NPI record last updated?

The NPPES record for Ivanna Maxson was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.