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MR. PETER PAUL MUTYA BADUA
NPI 1043036429
Nurse Practitioner - Family in Rancho Cucamonga, CA

Active since December 02, 2024PECOS EnrolledAccepts Medicare Assignment
10621 CHURCH ST STE 120, RANCHO CUCAMONGA, CA 91730(909) 944-0486 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Peter Paul Mutya Badua NPPES

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

MR. PETER PAUL MUTYA BADUA (NPI 1043036429) is an individual family provider in Rancho Cucamonga, California, licensed in California (95030226) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043036429
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. PETER PAUL MUTYA BADUA
Location Address10621 CHURCH ST STE 120Rancho Cucamonga, CA 91730-6834
Mailing Address316 Via NapoliCathedral City, CA 92234-4189 · (818) 519-5373
Phone(909) 944-0486
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1043036429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030226
10621 CHURCH ST STE 120, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mr. Peter Paul Mutya Badua 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 ID1456887462
PECOS Enrollment IDI20241212004225
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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
58 services45 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
21 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 2

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

PROVIDENCE PODIATRY CARE, INC.
Podiatrist (Foot & Ankle Surgery)
10621 CHURCH ST STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 944-0481
MATTHEW TAIWO ABIOLA OGBEIDE MD
Surgery
10621 CHURCH ST STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 944-0486

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 Peter Paul Badua's NPI number?

The NPI number for Peter Paul Badua is 1043036429. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Peter Paul Badua located?

Peter Paul Badua practices at 10621 Church St Ste 120, Rancho Cucamonga, CA 91730. The listed phone number is (909) 944-0486.

What is Peter Paul Badua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Peter Paul Badua enrolled in Medicare?

Yes. Peter Paul Badua 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 Peter Paul Badua was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.