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DR. BAILEY MARIA PESTEREV M.D.
NPI 1104359546
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
UCLA OB GYN 10833 LE CONTE AVE, CHS 27-126, LOS ANGELES, CA 90095(310) 825-9945 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Bailey Maria Pesterev M.d. NPPES

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

DR. BAILEY MARIA PESTEREV M.D. (NPI 1104359546) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2017).

NPPES Registry Identity

NPI1104359546
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BAILEY MARIA PESTEREVCredential: M.D.
Location AddressUCLA OB GYN 10833 LE CONTE AVE, CHS 27-126Los Angeles, CA 90095-0001
Mailing AddressUcla Ob Gyn 10833 Le Conte Ave, Chs 27-126Los Angeles, CA 90095-0001 · (310) 825-9945
Phone(310) 825-9945
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1104359546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
UCLA OB GYN 10833 LE CONTE AVE, Los Angeles, CA 90095
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Other Names 1

Other Name (5)Bailey Maria Bonura

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bailey Maria Pesterev M.d. 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 ID2961890215
PECOS Enrollment IDI20211019003097
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 Bailey Pesterev reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
301 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

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 Bailey Pesterev's NPI number?

The NPI number for Bailey Pesterev is 1104359546. It was assigned to this individual provider in the NPPES registry on April 4, 2017. The provider is also known as Bailey Maria Bonura.

Where is Bailey Pesterev located?

Bailey Pesterev practices at Ucla Ob Gyn 10833 Le Conte Ave Chs 27-126, Los Angeles, CA 90095. The listed phone number is (310) 825-9945.

What is Bailey Pesterev's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bailey Pesterev enrolled in Medicare?

Yes. Bailey Pesterev 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.

Which organization bills Medicare for Bailey Pesterev's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Pesterev reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Bailey Pesterev'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 Bailey Pesterev was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.