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DR. KAVID UDOMPANYANAN M.D.
NPI 1861523987
Emergency Medicine in Los Angeles, CA

Active since March 08, 2007PECOS Enrolled
10833 LE CONTE AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90095(408) 627-5377 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kavid Udompanyanan M.d. NPPES

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

DR. KAVID UDOMPANYANAN M.D. (NPI 1861523987) is an individual emergency medicine provider in Los Angeles, California, licensed in California (98756) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861523987
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KAVID UDOMPANYANANCredential: M.D.
Location Address10833 LE CONTE AVE, EMERGENCY DEPARTMENTLos Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave, Emergency DepartmentLos Angeles, CA 90095-3075 · (408) 627-5377
Phone(408) 627-5377
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1861523987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · 98756
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10833 LE CONTE AVE, Los Angeles, CA 90095
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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)

Dr. Kavid Udompanyanan 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.

Medicare Billing Reassignment

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

Permanente Medical Group Inc
301 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

DR. JENNIFER A FULCHER M.D., PH.D.
Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Los Angeles County (310) 825-7225
LEE HAROLD HILBORNE MD
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
PETER TONTONOZ MD
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Los Angeles County (310) 794-8285
HSIN Y LEE MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4721
COLIN J. WELLS MD
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 301-6800
RODNEY L TEICHNER MD
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9111
DR. LLOYD EDWARD GREASER III M.D.
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Los Angeles County (310) 825-4321
BRANDON KEN ITAGAKI M.D.
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-8307

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 Kavid Udompanyanan's NPI number?

The NPI number for Kavid Udompanyanan is 1861523987. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Kavid Udompanyanan located?

Kavid Udompanyanan practices at 10833 Le Conte Ave Emergency Department, Los Angeles, CA 90095. The listed phone number is (408) 627-5377.

What is Kavid Udompanyanan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kavid Udompanyanan enrolled in Medicare?

Yes. Kavid Udompanyanan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kavid Udompanyanan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kavid Udompanyanan reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). 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 Kavid Udompanyanan'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 Kavid Udompanyanan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.