MISS YLIANA PENALOSA NP
NPI 1053980052
Nurse Practitioner - Family in Huntington Beach, CA
About Miss Yliana Penalosa Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS YLIANA PENALOSA NP (NPI 1053980052) is an individual family provider in Huntington Beach, California, licensed in California (95012667) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chula Vista.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Yliana Penalosa Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yliana Penalosa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alhambra, CA 91803
- Reassigned Medicare billing, California enrollment
- 48 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
HUNTINGTON BEACH, CA 92647
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 Yliana Penalosa's NPI number?
The NPI number for Yliana Penalosa is 1053980052. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Yliana Penalosa located?
Yliana Penalosa practices at 7755 Center Ave Ste 630, Huntington Beach, CA 92647. The listed phone number is (657) 237-2450.
What is Yliana Penalosa's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Yliana Penalosa enrolled in Medicare?
Yes. Yliana Penalosa is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yliana Penalosa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yliana Penalosa reassigns Medicare benefits to Amg, A Professional Medical Corporation (Alhambra, 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 Yliana Penalosa'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 Yliana Penalosa was last updated on April 12, 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.
# Miss Yliana Penalosa, NP · NPI 1053980052
Family physician in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1053980052 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95012667 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7755 CENTER AVE STE 630, Huntington Beach, CA 92647-9152
- **Phone:** (657) 237-2450
## 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:** Amg, A Professional Medical Corporation (NPI 1558306266, Alhambra, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053980052) · Data from the CMS NPPES public registry.