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CONSTANZA MUNOZ KOTANKO FNP-BC
NPI 1205660362
Family Medicine in Gardena, CA

Active since August 29, 2024PECOS Enrolled
16630 S BROADWAY, GARDENA, CA 90248(310) 768-8155 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Constanza Munoz Kotanko Fnp-bc NPPES

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

CONSTANZA MUNOZ KOTANKO FNP-BC (NPI 1205660362) is an individual family medicine provider in Gardena, California, licensed in California (95031035) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205660362
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCONSTANZA MUNOZ KOTANKOCredential: FNP-BC
Location Address16630 S BROADWAYGardena, CA 90248-2716
Mailing Address16630 S BroadwayGardena, CA 90248-2716 · (310) 768-8155
Phone(310) 768-8155
Sole ProprietorNo
Enumeration DateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1205660362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 95031035
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16630 S BROADWAY, Gardena, CA 90248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constanza Munoz Kotanko Fnp-bc 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 Constanza Munoz Kotanko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Care Health Group
9.2 mi
Federally Qualified Health Center (FQHC)
1930 E ANAHEIM ST
Long Beach, CA 90813
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1245623156 (562) 478-4102

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 90248 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 8

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

LOC VINH TRUONG PA-C
Physician Assistant
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
OCCUPATIONAL HEALTH CENTERS OF CALIFORNIA, A MEDICAL CORPORATION
Clinic/Center (Occupational Medicine)
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
MRS. LUCILLE SADLER DAVID L.AC.
Acupuncturist
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
U.S. HEALTHWORKS MEDICAL GROUP, PC
Clinic/Center (Urgent Care)
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
CALVIN LE
Physical Therapist
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
HIEU DO DPT
Physical Therapist
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 215-1600
AMERICAN CURRENT CARE OF CALIFORNIA, A MEDICAL CORPORATION
Clinic/Center (Urgent Care)
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155
ANN THUAN THE MONG DPT
Physical Therapist
16630 S BROADWAY
GARDENA, CA 90248
Los Angeles County (310) 768-8155

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 Constanza Munoz Kotanko's NPI number?

The NPI number for Constanza Munoz Kotanko is 1205660362. It was assigned to this individual provider in the NPPES registry on August 29, 2024.

Where is Constanza Munoz Kotanko located?

Constanza Munoz Kotanko practices at 16630 S Broadway, Gardena, CA 90248. The listed phone number is (310) 768-8155.

What is Constanza Munoz Kotanko's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Constanza Munoz Kotanko enrolled in Medicare?

Yes. Constanza Munoz Kotanko is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Constanza Munoz Kotanko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constanza Munoz Kotanko reassigns Medicare benefits to Serenity Care Health Group (Long Beach, 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 Constanza Munoz Kotanko'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 Constanza Munoz Kotanko was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.