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DR. ANDREA TABUENCA PHD
NPI 1093192874
Psychologist - Clinical Child & Adolescent in Los Angeles, CA

Active since April 30, 2015PECOS EnrolledAccepts Medicare Assignment
760 WESTWOOD PLZ STE 47-417, LOS ANGELES, CA 90095(310) 825-6731 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Sep 11, 2019 (2 updates tracked since 2019).

About Dr. Andrea Tabuenca Phd NPPES

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

DR. ANDREA TABUENCA PHD (NPI 1093192874) is an individual clinical child & adolescent provider in Los Angeles, California, licensed in California (PSY28819) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093192874
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ANDREA TABUENCACredential: PHD
Location Address760 WESTWOOD PLZ STE 47-417Los Angeles, CA 90095-1419
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-6731
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 30, 2015
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1093192874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in CA · PSY28819
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
760 WESTWOOD PLZ STE 47-417, Los Angeles, CA 90095
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Other Names 1

Former Name (1)Dr. Andrea Lewallen Phd

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

Dr. Andrea Tabuenca Phd 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 ID7517247216
PECOS Enrollment IDI20161215001987
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.

Other Providers at the Same Location NPPES

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

ANA MERCEDES AMADOR
Social Worker (Clinical)
760 WESTWOOD PLZ STE 47-417
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6731

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 Andrea Tabuenca's NPI number?

The NPI number for Andrea Tabuenca is 1093192874. It was assigned to this individual provider in the NPPES registry on April 30, 2015. The provider is also known as Dr. Andrea Lewallen Phd.

Where is Andrea Tabuenca located?

Andrea Tabuenca practices at 760 Westwood Plz Ste 47-417, Los Angeles, CA 90095. The listed phone number is (310) 825-6731.

What is Andrea Tabuenca's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Andrea Tabuenca enrolled in Medicare?

Yes. Andrea Tabuenca 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 Andrea Tabuenca was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.