ANDREA BANUELOS MOTA MD
NPI 1184201006
Student in an Organized Health Care Education/Training Program in Santa Monica, CA
About Andrea Banuelos Mota Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA BANUELOS MOTA MD (NPI 1184201006) is an individual student in an organized health care education/training program in Santa Monica, California and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Andrea Banuelos Mota Md 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.
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.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
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 Andrea Banuelos Mota's NPI number?
The NPI number for Andrea Banuelos Mota is 1184201006. It was assigned to this individual provider in the NPPES registry on March 26, 2021.
Where is Andrea Banuelos Mota located?
Andrea Banuelos Mota practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4700.
What is Andrea Banuelos Mota's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Andrea Banuelos Mota enrolled in Medicare?
Yes. Andrea Banuelos Mota 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 Andrea Banuelos Mota was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Andrea Banuelos Mota, MD · NPI 1184201006
Student in an Organized Health Care Education/Training Program provider in Santa Monica, California. Individual provider, active in the CMS NPPES registry since March 26, 2021.
## Identity
- **NPI:** 1184201006 (Entity type: Individual)
- **Enumerated:** March 26, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1920 COLORADO AVE, Santa Monica, CA 90404-3414
- **Phone:** (310) 319-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Southern California Keck School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184201006) · Data from the CMS NPPES public registry.