Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jay D. Pruetz, MD

Individual provider Pediatrics Physician · NPI 1790771053

Jay D. Pruetz, MD is a Pediatric Medicine in Los Angeles, California. Graduated from University of California, Geffen School of Medicine in 1996, 30 years ago. Practices with Cedars-Sinai Medical Center, a 795-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
30
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

127 S San Vicente Blvd Ste A3600
Los Angeles, CA 90048-3311
Phone: (310) 423-1153
Fax: (310) 423-6795
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5411 Etiwanda Ave Ste 250, Tarzana, CA 91356-6158 — (310) 423-1153

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence A81000 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A81000 (CA)

Record details

NPI number1790771053
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2005
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Cedars-Sinai Medical Center — 795 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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