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MRS. YULIA KUSTOVA P.A.
NPI 1003121203
Physician Assistant in Los Angeles, CA

Active since August 11, 2010PECOS EnrolledAccepts Medicare Assignment
2121 S SAN PEDRO ST STE E, LOS ANGELES, CA 90011(213) 742-0300 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Yulia Kustova P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. YULIA KUSTOVA P.A. (NPI 1003121203) is an individual physician assistant in Los Angeles, California, licensed in California (PA20749) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1003121203
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. YULIA KUSTOVACredential: P.A.
Location Address2121 S SAN PEDRO ST STE ELos Angeles, CA 90011-1161
Mailing Address7000 Hawthorn Ave Apt 304Los Angeles, CA 90028-6963 · (323) 350-2220
Phone(213) 742-0300
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 11, 2010
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1003121203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA20749
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2121 S SAN PEDRO ST STE E, Los Angeles, CA 90011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Yulia Kustova P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325330194
PECOS Enrollment IDI20180130002583
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yulia Kustova's NPI number?

The NPI number for Yulia Kustova is 1003121203. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Yulia Kustova located?

Yulia Kustova practices at 2121 S San Pedro St Ste E, Los Angeles, CA 90011. The listed phone number is (213) 742-0300.

What is Yulia Kustova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Yulia Kustova enrolled in Medicare?

Yes. Yulia Kustova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yulia Kustova was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.