DAVID VASCONCELLOS
NPI 1013667849
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About David Vasconcellos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID VASCONCELLOS (NPI 1013667849) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Riverside, School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Vasconcellos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show David Vasconcellos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sherman Oaks, CA 91403
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
LOS ANGELES, CA 90089
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 David Vasconcellos's NPI number?
The NPI number for David Vasconcellos is 1013667849. It was assigned to this individual provider in the NPPES registry on March 25, 2022.
Where is David Vasconcellos located?
David Vasconcellos practices at 1200 N State St Ste A7d, Los Angeles, CA 90089. The listed phone number is (323) 409-7556.
What is David Vasconcellos's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is David Vasconcellos enrolled in Medicare?
Yes. David Vasconcellos is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for David Vasconcellos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Vasconcellos reassigns Medicare benefits to Mid-Valley Pulmonary Medical Group, Inc. (Sherman Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Vasconcellos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Vasconcellos was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# David Vasconcellos · NPI 1013667849
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1013667849 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 N STATE ST STE A7D, Los Angeles, CA 90089-1001
- **Phone:** (323) 409-7556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mid-Valley Pulmonary Medical Group, Inc. (NPI 1689688335, Sherman Oaks, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Riverside, School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** March 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013667849) · Data from the CMS NPPES public registry.