DYANE GATMAITAN
NPI 1104229178
Nurse Practitioner - Gerontology in Los Angeles, CA

Active since October 03, 2014PECOS EnrolledAccepts Medicare Assignment
87.67/100
CMS Quality Rating
127 S SAN VICENTE BLVD # A-6600, LOS ANGELES, CA 90048(310) 423-6472(310) 423-8839 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2023, Jun 8, 2022 (2 updates tracked since 2022).

About Dyane Gatmaitan NPPES

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

DYANE GATMAITAN (NPI 1104229178) is an individual gerontology provider in Los Angeles, California, licensed in California (95001144) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104229178
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDYANE GATMAITAN
Location Address127 S SAN VICENTE BLVD # A-6600Los Angeles, CA 90048-3311
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 423-6472 · Fax (310) 423-8839
Fax(310) 423-8839
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 3, 2014
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
NPI 1104229178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95001144
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95001144 (CA)
127 S SAN VICENTE BLVD # A-6600, Los Angeles, CA 90048

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

Dyane Gatmaitan 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 ID9537458757
PECOS Enrollment IDI20160511001626
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 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.

Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.86
Promoting Interoperability99
Improvement Activities40
Cost49.42

Other Providers at the Same Location NPPES

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

Physician Assistant
127 S SAN VICENTE BLVD # A-6600
LOS ANGELES, CA 90048

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 Dyane Gatmaitan's NPI number?

The NPI number for Dyane Gatmaitan is 1104229178. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Dyane Gatmaitan located?

Dyane Gatmaitan practices at 127 S San Vicente Blvd # A-6600, Los Angeles, CA 90048. The listed phone number is (310) 423-6472.

What is Dyane Gatmaitan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Dyane Gatmaitan enrolled in Medicare?

Yes. Dyane Gatmaitan 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 Dyane Gatmaitan was last updated on June 29, 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.