Jay D. Pruetz, M.D.
Pediatrics, Pediatric Cardiology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1790771053
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1790771053
- Entity type
- Individual (NPI-1)
- Name
- Jay D. Pruetz
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2005
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | A81000 | CA | Yes |
| 208000000X | Pediatrics | A81000 | CA |
Practice location
127 S San Vicente Blvd Ste A3600Los Angeles, CA 90048-3311
Phone 310-423-1153 · Fax 310-423-6795
Mailing address
4140 W 190th StTorrance, CA 90504-5513
Other practice locations
5411 Etiwanda Ave Ste 250
Tarzana, CA 91356-6158
Tarzana, CA 91356-6158
Phone 310-423-1153 · Fax 310-423-6795
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Cardiology Physician providers in Los Angeles, CA
- Juan Carlos Alejos, M.D.NPI 1518993914
- Myriam E. Almeida-Jones, MDNPI 1306141106
- Ramin Badiyan, MDNPI 1750917738
- Yaniv Bar-Cohen, MDNPI 1922190693
- Bonnie Akao Brooks, M.D.NPI 1841635968
- California Fetal And Pediatric Cardiology, INCNPI 1649207994
- Julian Cameron, MDNPI 1699121673
- Sunny Chang, MDNPI 1427468602
- Andrew L Cheng, M.D.NPI 1053553610
- Children'S Hospital Los Angeles Medical GroupNPI 1427256072
All 62 Pediatric Cardiology Physician providers in Los Angeles · All 84,021 providers in Los Angeles
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.