Individual provider Active NPI

Michelle Wei-Jen Escovedo, MD

  • Pediatric Adolescent Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1922441476
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A135582 Issued in CA
Practice address
8723 Alden Dr Ste 240
Los Angeles, CA 90048-3692
Phone
(310) 423-7779
Fax
(310) 423-8269
NPI assigned
Apr 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X A135582 CA Primary

Addresses

Primary practice location

8723 Alden Dr Ste 240
Los Angeles, CA 90048-3692

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-7779

Other practice location 2

5000 W Sunset Blvd
4th Floor
Los Angeles, CA 90027-5861
Phone (323) 361-2153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161229001839 CA Practitioner - Pediatric Medicine 6608157870 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135582CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients

Locations

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

4650 W Sunset Blvd
Stop 76
Los Angeles, CA 90027
Phone (323) 361-6161

Interoperability endpoints

  • Direct secure messaging: mescovedo435025@direct.cshs.org
  • Direct secure messaging: mescovedo35157@altamed.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1922441476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8723 ALDEN DR STE 240",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483692",
            "telephone_number": "310-423-7779",
            "fax_number": "310-423-8269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-7779",
            "fax_number": "310-423-8269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Sunset Blvd",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900275861",
            "country_code": "US",
            "telephone_number": "323-361-2153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCOVEDO",
        "first_name": "MICHELLE",
        "middle_name": "WEI-JEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A135582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.