NPPES file of Aug 9, 2026

Andrew John Petkus, PH.D.

Clinical Psychologist · Los Angeles, CA

Andrew John Petkus, PH.D. is a clinical psychologist with a practice address in Los Angeles, California, and NPI 1184152241, issued on Jun 1, 2017. Check the license (California PSY-28858, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1184152241
Name
Andrew John Petkus
Credential
PH.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PSY-28858 CA
Self-reported in NPPES; status is on the state search
Practice location
1520 San Pablo St Ste 3000, Los Angeles, CA 90033
Phone
(323) 442-5710
Enumerated
Jun 1, 2017
Record last updated
Nov 27, 2023
Medicare enrollment
Enrolled (PECOS I20170703001480); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1520 San Pablo St Ste 3000

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ashim Ahuja, MDNeurology Physician1972063329
  2. Zainab Al Obaidi, MDNeurology Physician1144969692
  3. Raya Aliakbar, MPH, DOStudent in an Organized Health Care Education/Training Program1538747399
  4. Jordan Amar, MDNeurology Physician1407340409
  5. Lilyana Amezcua, M.D.Neurology Physician1306031240
  6. Mustafa Ansari, M.D.Neurology Physician1396088258

Verify Andrew John Petkus in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license PSY-28858
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Usc Care Medical Group IncLos Angeles, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Andrew John Petkus among 12,647 clinical psychologist records in California

Andrew John Petkus, PH.D. is one of 12,647 clinical psychologist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 81% of them.

  • NPI issued2017 · 81% of these records are older, 16% newer
  • In a Medicare fileYes · 9% of these records are
  • In the CMS Doctors and Clinicians fileYes · 19% of these records are
  • Graduated2014 · median 2006 among the 2,424 with a school on file
  • Record last updated2023 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1,268 clinical psychologist records list a practice address in Los Angeles

They are 1,268 of the 69,537 NPPES records with a practice address in Los Angeles, and 12,647 clinical psychologist records in California.

The 8 clinical psychologist records with the nearest ZIP codes

  1. Shirley Flournoy, PH.D.Los Angeles, CA 900331720131337
  2. Elizabeth Gross, PH.D.Los Angeles, CA 900331700945409
  3. Duke Han, PHDLos Angeles, CA 900331669696753
  4. Dorit Ilani, PH.D.Los Angeles, CA 900331699947051
  5. April Iuli, PSYD.Los Angeles, CA 900331376613778
  6. Winnie Louie, PSY.D.Los Angeles, CA 900331205068434
  7. Lauren Macmillan, PHDLos Angeles, CA 900331477506509
  8. Jeffrey Ring, PH.D.Los Angeles, CA 900331245451616

Common questions

What is Andrew John Petkus, PH.D.'s NPI number?

Andrew John Petkus, PH.D.'s National Provider Identifier (NPI) is 1184152241, issued on Jun 1, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Andrew John Petkus, PH.D. located?

The NPPES record lists a practice address at 1520 San Pablo St Ste 3000, Los Angeles, CA, 90033. Phone: (323) 442-5710. Providers update this record themselves, so call before visiting.

How can I verify Andrew John Petkus, PH.D.'s license?

NPPES lists California license number PSY-28858, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.