RODEL LUMANOG
NPI 1124574819
Nurse Practitioner - Family in El Segundo, CA

Q: What is Rodel Lumanog's NPI number?

The NPI number for Rodel Lumanog is 1124574819. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Q: What is Rodel Lumanog's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rodel Lumanog was last updated on October 24, 2019. 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.

Active since August 31, 2016PECOS Enrolled

2101 ROSECRANS AVE # 3230, EL SEGUNDO, CA 90245(323) 628-8671 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2019, Aug 31, 2016 (2 updates tracked since 2016).

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About Rodel Lumanog NPPES

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

RODEL LUMANOG (NPI 1124574819) is an individual family provider in El Segundo, California, licensed in California (95004859) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chula Vista.

NPPES Registry Identity

NPI1124574819

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameRODEL LUMANOG

Location Address2101 ROSECRANS AVE # 3230El Segundo, CA 90245-4749

Mailing Address1521 Victory Ln Unit 1Chula Vista, CA 91915-2670 · (619) 395-7392

Phone(323) 628-8671

Sole ProprietorYes

Enumeration DateAugust 31, 2016

Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration

✔ NPI 1124574819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004859

2101 ROSECRANS AVE # 3230, El Segundo, CA 90245

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Secondary Practice Location 1

Location 11521 Victory Ln Unit 1Chula Vista, CA 91915-2670 · Phone (619) 395-7392

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rodel Lumanog 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90245 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 18

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

KENN RAFANAN

Nurse Practitioner (Family)