Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jon A Detterich, MD

Individual provider Pediatric Emergency Medicine (Emergency Medicine) Physician · NPI 1659518884

Jon A Detterich, MD is registered under Cardiovascular Disease (Cardiology) in Los Angeles, California. Graduated from Medical College of Wisconsin in 2003, 23 years ago. Practices with Childrens Hospital Los Angeles Medical Group Inc, a 288-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
Medical College of Wisconsin
Licensed in
CA
In the registry since
2009
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

4650 W Sunset Blvd MS #113
Los Angeles, CA 90027-6062 Not confirmed with CMS for 17 years — call before visiting
Phone: (323) 361-2109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PP0204X · Licence A89834 (CA)

Record details

NPI number1659518884
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2009
Last updated in NPPESJanuary 9, 2009

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2003 (23 years in practice)
Group practice Childrens Hospital Los Angeles Medical Group Inc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Childrens Hospital Los Angeles Medical Group Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 288 clinicians in the practice; 12 are shown here.

Other providers in Los Angeles