DR. THEODORE DE BERITTO M.D.
NPI 1841605334
Pediatrics - Neonatal-Perinatal Medicine in Los Angeles, CA

Active since June 24, 2014PECOS Enrolled
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: November 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore De Beritto M.d. NPPES

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

DR. THEODORE DE BERITTO M.D. (NPI 1841605334) is an individual neonatal-perinatal medicine provider in Los Angeles, California, licensed in California (A150192) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841605334
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. THEODORE DE BERITTOCredential: M.D.
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Fax(310) 794-5066
Sole ProprietorNo
Enumeration DateJune 24, 2014
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1841605334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in CA · A150192
Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Theodore De Beritto M.d. 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.

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 Theodore De Beritto's NPI number?

The NPI number for Theodore De Beritto is 1841605334. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Theodore De Beritto located?

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

What is Theodore De Beritto's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Theodore De Beritto enrolled in Medicare?

Yes. Theodore De Beritto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore De Beritto was last updated on November 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.