MAYRA L BERDUGO OD
NPI 1215004064
Optometrist in Bellflower, CA
About Mayra L Berdugo Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAYRA L BERDUGO OD (NPI 1215004064) is an individual optometrist in Bellflower, California, licensed in California (OPT11606) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mayra L Berdugo Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Mayra Berdugo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 90706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BELLFLOWER, CA 90706
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 Mayra Berdugo's NPI number?
The NPI number for Mayra Berdugo is 1215004064. It was assigned to this individual provider in the NPPES registry on November 29, 2006.
Where is Mayra Berdugo located?
Mayra Berdugo practices at 9400 Rosecrans Ave, Bellflower, CA 90706. The listed phone number is (562) 461-3000.
What is Mayra Berdugo's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mayra Berdugo enrolled in Medicare?
Yes. Mayra Berdugo 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.
Which organization bills Medicare for Mayra Berdugo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Berdugo reassigns Medicare benefits to Southern California Permanente Medical Group (Bellflower, 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 Mayra Berdugo'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 Mayra Berdugo was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mayra L Berdugo, OD · NPI 1215004064
Optometrist provider in Bellflower, California. Individual provider, active in the CMS NPPES registry since November 29, 2006.
## Identity
- **NPI:** 1215004064 (Entity type: Individual)
- **Enumerated:** November 29, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT11606 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9400 ROSECRANS AVE, Bellflower, CA 90706-2246
- **Phone:** (562) 461-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1043242555, Bellflower, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215004064) · Data from the CMS NPPES public registry.