ANDREW VALLEJO MD
NPI 1831726140
Obstetrics & Gynecology in Los Angeles, CA

Active since March 25, 2020PECOS Enrolled
1200 N STATE ST # C3F107, LOS ANGELES, CA 90033(323) 409-8848 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2024, Mar 25, 2020 (2 updates tracked since 2020).

About Andrew Vallejo Md NPPES

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

ANDREW VALLEJO MD (NPI 1831726140) is an individual obstetrics & gynecology provider in Los Angeles, California, licensed in California (A189872) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831726140
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANDREW VALLEJOCredential: MD
Location Address1200 N STATE ST # C3F107Los Angeles, CA 90033-1029
Mailing Address1200 N State St # C3f107Los Angeles, CA 90033-1029 · (323) 409-8848
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1831726140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A189872
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1200 N STATE ST # C3F107, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Vallejo 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 Reassignment

Medicare enrollment records show Andrew Vallejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Obhg California PC
  • 711 clinicians in this Medicare group

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 90033 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1200 N STATE ST # C3F107
LOS ANGELES, CA 90033

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 Andrew Vallejo's NPI number?

The NPI number for Andrew Vallejo is 1831726140. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Andrew Vallejo located?

Andrew Vallejo practices at 1200 N State St # C3f107, Los Angeles, CA 90033. The listed phone number is (323) 409-8848.

What is Andrew Vallejo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrew Vallejo enrolled in Medicare?

Yes. Andrew Vallejo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Vallejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Vallejo reassigns Medicare benefits to Obhg California, P.C. (Greenville, SC). 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 Andrew Vallejo'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 Andrew Vallejo was last updated on July 16, 2024. 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.