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

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

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Aug 13, 2025, Sep 11, 2019 (3 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 provider in Los Angeles, California, licensed in California (PSY28819) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093192874
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
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
Enumeration DateApril 30, 2015
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1093192874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY28819
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Tabuenca Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Andrea Tabuenca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
0.1 mi
Adult Development & Aging
300 MEDICAL PLAZA
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1750368999 (310) 825-9989

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 90095 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

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, with taxonomy code 103TC0700X.

Is Andrea Tabuenca enrolled in Medicare?

Yes. Andrea Tabuenca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Tabuenca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Tabuenca reassigns Medicare benefits to Uc Regents (Los Angeles, 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 Andrea Tabuenca'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 Andrea Tabuenca was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.