Victoria Tedrow, PA, RD is a medicare enrolled "Physician Assistant" provider in Torrance, California. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Saint Johns Medical Foundation and her current practice location is
5215 Torrance Blvd Ste 300, Torrance, California. You can reach out to her office (for appointments etc.) via phone at
(424) 212-5361.
Victoria Tedrow is licensed to practice in California (license number 59129) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265981617.
Healthcare Provider's Profile
Full Name | Victoria Tedrow |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 3 Years |
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Location | 5215 Torrance Blvd Ste 300, Torrance, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Victoria Tedrow graduated from medical school in 2021
NPI Data:
- NPI Number: 1265981617
- Provider Enumeration Date: 09/27/2016
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981007010
- Enrollment ID: I20210727000523
Medical Identifiers
Medical identifiers for Victoria Tedrow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265981617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1092791 (California) | Secondary |
363A00000X | Physician Assistant | 59129 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Saint Johns Medical Foundation | 0840548624 | 273 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Victoria Tedrow is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Victoria Tedrow, PA, RD 1142 9th St Apt 10, Santa Monica, CA 90403-5243 Ph: (330) 575-3176 | Victoria Tedrow, PA, RD 5215 Torrance Blvd Ste 300, Torrance, CA 90503-4009 Ph: (424) 212-5361 |
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