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KRYSTAL A DEPORTO MD
NPI 1245867639
Urology in Los Angeles, CA

Active since March 25, 2020PECOS Enrolled
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027(323) 783-6399 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Dec 6, 2021, Mar 25, 2020 (3 updates tracked since 2020).

About Krystal A Deporto Md NPPES

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

KRYSTAL A DEPORTO MD (NPI 1245867639) is an individual urology provider in Los Angeles, California, licensed in Missouri (2026010465) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2020).

NPPES Registry Identity

NPI1245867639
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameKRYSTAL A DEPORTOCredential: MD
Location Address4733 W SUNSET BLVD FL 3Los Angeles, CA 90027-6021
Mailing Address4733 W Sunset Blvd Fl 3Los Angeles, CA 90027-6021
Phone(323) 783-6399
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1245867639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MO · 2026010465
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4733 W SUNSET BLVD FL 3, Los Angeles, CA 90027
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krystal A Deporto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628466687
PECOS Enrollment IDI20260612001998
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 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 20

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

GABRIELLE BROWN M.D.
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. ERIC RAY WONG DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
SHAINA GANJIAN MD
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
JAMES ZHOU
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (916) 686-7300
DR. BANSARI ASHOKBHAI PATEL DO
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (833) 574-2273
ISABEL OJEDA
Student in an Organized Health Care Education/Training Program
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. HONG THI THANH DANG M.D.
Internal Medicine (Nephrology)
4733 W SUNSET BLVD FL 3, KAISER PERMANENTE SOUTHERN CALIFORNIA
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4516
DR. KRISTOPHER ROBERT WARING MD
Obstetrics & Gynecology (Obstetrics)
4733 W SUNSET BLVD FL 3
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1430

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 Krystal Deporto's NPI number?

The NPI number for Krystal Deporto is 1245867639. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Krystal Deporto located?

Krystal Deporto practices at 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027. The listed phone number is (323) 783-6399.

What is Krystal Deporto's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Krystal Deporto enrolled in Medicare?

Yes. Krystal Deporto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Krystal Deporto was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.