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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Rodel Lumanog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Diego American Indian Health Center
107 mi
Addiction (Substance Use Disorder)
2630 1ST AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1003902917 (619) 234-2158

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

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)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
AMAKA LAURETTA ANYAOHA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
DR. ISH PRASAD BHALLA MD
Psychiatry & Neurology (Psychiatry)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
YOUNG SHIN N.P.
Nurse Practitioner (Adult Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
DR. CHARLES CHRISTIAN MARTINEAU M.D.
Internal Medicine
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
MS. ROSEMARY ROYCE FNP
Nurse Practitioner (Family)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671
BARBARA E BECKFORD NP
Nurse Practitioner (Adult Health)
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (657) 204-3953
DR. TREVOR MORGAN HAYES D.O.
Family Medicine
2101 ROSECRANS AVE # 3230
EL SEGUNDO, CA 90245
Los Angeles County (323) 628-8671

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 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.

Where is Rodel Lumanog located?

Rodel Lumanog practices at 2101 Rosecrans Ave # 3230, El Segundo, CA 90245. The listed phone number is (323) 628-8671.

What is Rodel Lumanog's specialty?

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

Is Rodel Lumanog enrolled in Medicare?

Yes. Rodel Lumanog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rodel Lumanog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodel Lumanog reassigns Medicare benefits to San Diego American Indian Health Center (San Diego, 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 Rodel Lumanog'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 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 7 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.