TAMILA MUSTAFAEVA AGACNP - BC
NPI 1043059769
Nurse Practitioner in Glendale, CA

Q: What is Tamila Mustafaeva's NPI number?

The NPI number for Tamila Mustafaeva is 1043059769. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Q: What is Tamila Mustafaeva's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tamila Mustafaeva was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 22, 2024PECOS Enrolled

425 N JACKSON ST APT 7, GLENDALE, CA 91206(818) 636-4770 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Tamila Mustafaeva Agacnp - Bc NPPES

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

TAMILA MUSTAFAEVA AGACNP - BC (NPI 1043059769) is an individual nurse practitioner in Glendale, California, licensed in California (95029674) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043059769

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTAMILA MUSTAFAEVACredential: AGACNP - BC

Location Address425 N JACKSON ST APT 7Glendale, CA 91206-3277

Mailing Address425 N Jackson St Apt 7Glendale, CA 91206-3277 · (818) 636-4770

Phone(818) 636-4770

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 22, 2024

Last NPPES UpdateJune 21, 2024

NPPES CertifiedJune 21, 2024

✔ NPI 1043059769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95029674

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 ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 95029674 (CA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95029674 (CA)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 95029674 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95029674 (CA)

425 N JACKSON ST APT 7, Glendale, CA 91206

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamila Mustafaeva Agacnp - Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577094564

PECOS Enrollment IDI20241001003506

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.

Medicare Billing Reassignments

Medicare enrollment records show Tamila Mustafaeva reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Life Tree Community Health Center, Inc.

11 mi

Community Health

13750 VICTORY BLVD
Van Nuys, CA 91401

Reassigned Medicare billing, California enrollment
6 clinicians in this Medicare group

NPI 1386413888 (818) 486-6600

Southern California Multi-Specialty Center Inc

12 mi

Surgery

5805 SEPULVEDA BLVD STE 690
Sherman Oaks, CA 91411

Reassigned Medicare billing, California enrollment
17 clinicians in this Medicare group

NPI 1407326606 (818) 900-6480

Pulmonary Consultants And Wellness Center Inc PC

15 mi

Internal Medicine

555 E HARDY ST, IRA KAUFMAN PAVILLON
Inglewood, CA 90301

Reassigned Medicare billing, California enrollment
39 clinicians in this Medicare group

NPI 1427440304 (310) 680-8095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

206 services71 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

65 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 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.

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 Tamila Mustafaeva's NPI number?

The NPI number for Tamila Mustafaeva is 1043059769. It was assigned to this individual provider in the NPPES registry on May 22, 2024.

Where is Tamila Mustafaeva located?

Tamila Mustafaeva practices at 425 N Jackson St Apt 7, Glendale, CA 91206. The listed phone number is (818) 636-4770.

What is Tamila Mustafaeva's specialty?

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

Is Tamila Mustafaeva enrolled in Medicare?

Yes. Tamila Mustafaeva is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tamila Mustafaeva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamila Mustafaeva reassigns Medicare benefits to 3 organizations: Life Tree Community Health Center, Inc. (Van Nuys, CA), Southern California Multi-Specialty Center Inc (Sherman Oaks, CA) and Pulmonary Consultants And Wellness Center Inc PC (Inglewood, CA). Each 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 Tamila Mustafaeva'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 Tamila Mustafaeva was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.