DR. ANGELA TAMBUNTING ECHIVERRI M.D., M.P.H.
NPI 1124376363
Family Medicine in Santa Monica, CA

Active since August 20, 2012PECOS EnrolledAccepts Medicare Assignment
2509 PICO BLVD, SANTA MONICA, CA 90405(310) 392-8636(310) 943-3521 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Angela Tambunting Echiverri M.d., M.p.h. NPPES

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

DR. ANGELA TAMBUNTING ECHIVERRI M.D., M.P.H. (NPI 1124376363) is an individual family medicine provider in Santa Monica, California, licensed in California (A129632) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124376363
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANGELA TAMBUNTING ECHIVERRICredential: M.D., M.P.H.
Location Address2509 PICO BLVDSanta Monica, CA 90405-1828
Mailing Address2509 Pico BlvdSanta Monica, CA 90405-1828 · (310) 392-8636 · Fax (310) 943-3521
Fax(310) 943-3521
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 20, 2012
Last NPPES UpdateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1124376363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A129632
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2509 PICO BLVD, Santa Monica, CA 90405

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. Angela Tambunting Echiverri M.d., M.p.h. 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 ID9234439241
PECOS Enrollment IDI20250324000158
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90405 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.

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
2509 PICO BLVD
SANTA MONICA, CA 90405
Social Worker
2509 PICO BLVD
SANTA MONICA, CA 90405
Clinic/Center (Dental)
2509 PICO BLVD
SANTA MONICA, CA 90405
Family Medicine
2509 PICO BLVD
SANTA MONICA, CA 90405
Psychiatry & Neurology (Psychiatry)
2509 PICO BLVD
SANTA MONICA, CA 90405
Clinic/Center (Federally Qualified Health Center (FQHC))
2509 PICO BLVD
SANTA MONICA, CA 90405
Clinic/Center (Public Health, State or Local)
2509 PICO BLVD
SANTA MONICA, CA 90405
Family Medicine
2509 PICO BLVD
SANTA MONICA, CA 90405

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 Angela Echiverri's NPI number?

The NPI number for Angela Echiverri is 1124376363. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Angela Echiverri located?

Angela Echiverri practices at 2509 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 392-8636.

What is Angela Echiverri's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angela Echiverri enrolled in Medicare?

Yes. Angela Echiverri 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 Angela Echiverri was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.