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RUPERT FORTUGALEZA FNP
NPI 1013638477
Nurse Practitioner in Los Angeles, CA

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
2080 CENTURY PARK E STE 710, LOS ANGELES, CA 90067(310) 556-7747 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rupert Fortugaleza Fnp NPPES

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

RUPERT FORTUGALEZA FNP (NPI 1013638477) is an individual nurse practitioner in Los Angeles, California, licensed in California (95021994) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013638477
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRUPERT FORTUGALEZACredential: FNP
Location Address2080 CENTURY PARK E STE 710Los Angeles, CA 90067-2010
Mailing Address2080 Century Park E Ste 710Los Angeles, CA 90067-2010
Phone(310) 556-7747
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1013638477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95021994
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95172294 (CA)
2080 CENTURY PARK E STE 710, Los Angeles, CA 90067
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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

Rupert Fortugaleza Fnp 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 ID8729431440
PECOS Enrollment IDI20240130001528
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90067 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANA TAHERIAN M.D.
Internal Medicine (Rheumatology)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
BOLIN L CHANG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
MMI MEDICAL GROUP, INC.
Clinic/Center (Infusion Therapy)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
AMY P BANSAL M.D.
Otolaryngology
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
AVA MAGDALENE CHARBONEAU PA-C
Physician Assistant
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 715-3237
NATALIE NGA TRAN N.P.
Nurse Practitioner (Family)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (310) 556-7747
SERPAH MEDICAL PC
Clinic/Center (Primary Care)
2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
Los Angeles County (424) 274-3211

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 Rupert Fortugaleza's NPI number?

The NPI number for Rupert Fortugaleza is 1013638477. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Rupert Fortugaleza located?

Rupert Fortugaleza practices at 2080 Century Park E Ste 710, Los Angeles, CA 90067. The listed phone number is (310) 556-7747.

What is Rupert Fortugaleza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rupert Fortugaleza enrolled in Medicare?

Yes. Rupert Fortugaleza 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 Rupert Fortugaleza was last updated on September 6, 2022. 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.