MR. KLAR FULGENTES PASILABAN FNP
NPI 1104371806
Nurse Practitioner - Primary Care in Simi Valley, CA
About Mr. Klar Fulgentes Pasilaban Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KLAR FULGENTES PASILABAN FNP (NPI 1104371806) is an individual primary care provider in Simi Valley, California, licensed in California (95004610) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Simi Valley, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Mr. Klar Fulgentes Pasilaban Fnp 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.
Medicare Billing Reassignments
10Medicare enrollment records show Klar Pasilaban reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 139 clinicians in this Medicare group
Simi Valley, CA 93065
- Reassigned Medicare billing, California enrollment
- 31 clinicians in this Medicare group
Van Nuys, CA 91405
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Los Angeles, CA 90064
- Reassigned Medicare billing, Arizona, California, New Mexico, Nevada, Oregon and Washington enrollments
- 6 clinicians in this Medicare group
Chino Hills, CA 91709
- Reassigned Medicare billing, California enrollment
- 72 clinicians in this Medicare group
Corona, CA 92879
- Reassigned Medicare billing, California enrollment
- 123 clinicians in this Medicare group
Corona, CA 92879
- Reassigned Medicare billing, California enrollment
- 54 clinicians in this Medicare group
Corona, CA 92879
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Hemet, CA 92543
- Reassigned Medicare billing, California enrollment
- 129 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.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Klar Pasilaban's NPI number?
The NPI number for Klar Pasilaban is 1104371806. It was assigned to this individual provider in the NPPES registry on August 23, 2016.
Where is Klar Pasilaban located?
Klar Pasilaban practices at 1822 Springgate Ln Apt G, Simi Valley, CA 93065. The listed phone number is (805) 256-7828.
What is Klar Pasilaban's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Klar Pasilaban enrolled in Medicare?
Yes. Klar Pasilaban 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 organizations bill Medicare for Klar Pasilaban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Klar Pasilaban reassigns Medicare benefits to 10 organizations: On Demand Telehealth A Nursing Corporation (Simi Valley, CA), Adventist Health Physicians Network (Simi Valley, CA), Allied Emergency Physicians, Inc. (Simi Valley, CA), Valley Presbyterian Emergency Medical Associates (Van Nuys, CA), Snf Wound Care (Los Angeles, CA) and 5 more organizations, listed in the Medicare section above. Each 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 Klar Pasilaban'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 Klar Pasilaban was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mr. Klar Fulgentes Pasilaban, FNP · NPI 1104371806
Primary Care physician in Simi Valley, California. Individual provider, active in the CMS NPPES registry since August 23, 2016.
## Identity
- **NPI:** 1104371806 (Entity type: Individual)
- **Enumerated:** August 23, 2016
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 95004610 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1822 SPRINGGATE LN APT G, Simi Valley, CA 93065-2982
- **Phone:** (805) 256-7828
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): On Demand Telehealth A Nursing Corporation (NPI 1952068280, Simi Valley, CA); Adventist Health Physicians Network (NPI 1639717622, Simi Valley, CA); Allied Emergency Physicians, Inc. (NPI 1043531346, Simi Valley, CA); Valley Presbyterian Emergency Medical Associates (NPI 1033133103, Van Nuys, CA); Snf Wound Care (NPI 1114393311, Los Angeles, CA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104371806) · Data from the CMS NPPES public registry.