TEJON WOODS (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1285911214

TEJON WOODS (FNP) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 21303 (CA). The NPI Number for TEJON WOODS (FNP) is 1285911214

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
TEJON WOODS (FNP)
NPI
1285911214
Phone
(213) 484-7953
Address
2131 W 3RD ST
Enumeration Date
4 November 2011
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9093353026
Graduation Year
2022 (4 years ago)
PAC ID
3476716507
Group Practice PAC ID
9436062312
Professional Enrollment ID
I20120529000477
Address ID
CA923738054RE1809XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for TEJON WOODS (FNP)

  • 2131 W 3RD ST

    LOS ANGELES, CA 900571901

    Phone: (213) 484-7953

    Type: Location

  • 4262 LYND AVE

    ARCADIA, CA 910065834

    Phone: (916) 747-5155

    Type: Mailing

  • 1809 W REDLANDS BLVD

    REDLANDS, CA 923738054

    Phone: (909) 335-3026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $3,091.

Total Amount is formed as General ($3,091) + Research ($0) + Ownership ($0) = $3,091.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($794).

Total Amount

$3,091

General + Research + Ownership

Payments

90

Total payment records

General Amount

$3,091

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120529000477INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436062312View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YMI

Reviews

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Frequently asked questions

What is the standard ID for TEJON WOODS (FNP) in the U.S.?
In the U.S., TEJON WOODS (FNP) is identified by NPI 1285911214.
Is TEJON WOODS (FNP) currently accepting referrals based on NPI status?
Registry metadata lists TEJON WOODS (FNP) as active.
What services align with TEJON WOODS (FNP)'s listing?
TEJON WOODS (FNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TEJON WOODS (FNP)?
TEJON WOODS (FNP) is associated with Los Angeles, California in the same public data insurers reference.
Why is information missing for TEJON WOODS (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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