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NPI · 1790771053 · NPPES-sourced

Jay Pruetz M.D.

ActivePediatric Cardiology Physician
NPI Number
1790771053
Type 1 · Individual
Taxonomy Code
2080P0202X
Contact
(310) 423-1153
License CA · A81000
Last Updated
About 7 weeks ago (Apr 2026)
Enumerated 2005-09-22
Primary practice addressCA · 90048-3311
127 S San Vicente Blvd Ste A3600Los Angeles, CA 90048-3311
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About this NPIWhat this record shows.

NPI 1790771053 is registered to Jay Pruetz M.D., a Pediatric Cardiology Physician practising at 127 S San Vicente Blvd Ste A3600 in Los Angeles, California. Pediatric Cardiology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jay Pruetz M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2005.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2005-09-22
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jay Pruetz M.D. accepts. To confirm in-network status with your specific health plan, contact Jay Pruetz M.D. directly at (310) 423-1153.

Frequently asked

Yes. NPI 1790771053 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatric Cardiology Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (310) 423-1153.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jay Pruetz M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2080P0202X
Last updated2026-04
Enumerated2005-09-22
StatusActive
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