REBECCA PRAKASH CRNP
NPI 1164963716
Nurse Practitioner in San Diego, CA

Q: What is Rebecca Prakash's NPI number?

The NPI number for Rebecca Prakash is 1164963716. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Q: What is Rebecca Prakash's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Prakash was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 15, 2017PECOS Enrolled

5717 PACIFIC CENTER BLVD STE 200, SAN DIEGO, CA 92121(858) 859-1188 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2021, Nov 1, 2018, Mar 15, 2017 (3 updates tracked since 2017).

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About Rebecca Prakash Crnp NPPES

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

REBECCA PRAKASH CRNP (NPI 1164963716) is an individual nurse practitioner in San Diego, California, licensed in California (95008207) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1164963716

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameREBECCA PRAKASHCredential: CRNP

Location Address5717 PACIFIC CENTER BLVD STE 200San Diego, CA 92121-4250

Mailing Address5717 Pacific Center Blvd Ste 200San Diego, CA 92121-4250 · (858) 859-1188

Phone(858) 859-1188

Sole ProprietorYes

Enumeration DateMarch 15, 2017

Last NPPES UpdateMay 11, 20213 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1164963716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95008207✔ Licensed in MD · R215956

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95008207 (CA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 95008207 (CA)

5717 PACIFIC CENTER BLVD STE 200, San Diego, CA 92121

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Secondary Practice Location 1

Location 110833 Le Conte AveLos Angeles, CA 90095-3240 · Phone (310) 319-1234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Prakash Crnp 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 92121 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 19

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

GINGER R LUCERO PA-C

Physician Assistant