PUJA MANSUKH KASONDRA
NPI 1124804935
Nurse Practitioner - Family in Beverly Hills, CA

Active since September 06, 2023PECOS EnrolledAccepts Medicare Assignment
9090 WILSHIRE BLVD FL 2, BEVERLY HILLS, CA 90211(310) 888-8680 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, May 28, 2025, Sep 6, 2023 (3 updates tracked since 2023).

About Puja Mansukh Kasondra NPPES

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

PUJA MANSUKH KASONDRA (NPI 1124804935) is an individual family provider in Beverly Hills, California, licensed in California (95027026) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beverly Hills, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124804935
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePUJA MANSUKH KASONDRA
Location Address9090 WILSHIRE BLVD FL 2Beverly Hills, CA 90211-1888
Mailing Address4140 W 190th StTorrance, CA 90504-5513 · (310) 888-8680
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 6, 2023
Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1124804935 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 · 95027026
9090 WILSHIRE BLVD FL 2, Beverly Hills, CA 90211

Secondary Practice Location 1

Location 19090 Wilshire Blvd Fl 3Beverly Hills, CA 90211-1851 · Phone (310) 888-8680

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

Puja Mansukh Kasondra 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 ID1254842198
PECOS Enrollment IDI20250617002519
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 90211 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 2

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

Nurse Practitioner (Acute Care)
9090 WILSHIRE BLVD FL 2
BEVERLY HILLS, CA 90211
Pharmacist (Oncology)
9090 WILSHIRE BLVD FL 2
BEVERLY HILLS, CA 90211

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 Puja Kasondra's NPI number?

The NPI number for Puja Kasondra is 1124804935. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Puja Kasondra located?

Puja Kasondra practices at 9090 Wilshire Blvd Fl 2, Beverly Hills, CA 90211. The listed phone number is (310) 888-8680.

What is Puja Kasondra's specialty?

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

Is Puja Kasondra enrolled in Medicare?

Yes. Puja Kasondra 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 Puja Kasondra was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.