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KRISTA BASILE TABUENCA
NPI 1255813762
Psychologist - Clinical in Los Angeles, CA

Active since August 30, 2018PECOS Enrolled
300 UCLA MEDICAL PLZ STE 1100, LOS ANGELES, CA 90095(310) 825-9989 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Jun 21, 2024, Apr 4, 2023 and 1 more (4 updates tracked since 2018).

About Krista Basile Tabuenca NPPES

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

KRISTA BASILE TABUENCA (NPI 1255813762) is an individual clinical provider in Los Angeles, California, licensed in California (PSY34041) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255813762
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTA BASILE TABUENCA
Location Address300 UCLA MEDICAL PLZ STE 1100Los Angeles, CA 90095-8549
Mailing Address5767 W Century BlvdLos Angeles, CA 90095-5631
Phone(310) 825-9989
Sole ProprietorYes
Enumeration DateAugust 30, 2018
Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1255813762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY34041
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License PSY34041 (CA)
300 UCLA MEDICAL PLZ STE 1100, Los Angeles, CA 90095
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista Basile Tabuenca 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 Krista Tabuenca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
0.5 mi
Adult Development & Aging
300 MEDICAL PLAZA
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 221 clinicians in this Medicare group
NPI 1750368999 (310) 825-9989

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 90095 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 13

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

VERONICA R BARENSTEIN PHD
Psychologist (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
SUE JONG PARK
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
IESHA ROSE DUNCAN
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. LINDSEY MARIE MATT PHD
Psychologist
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (108) 259-9893
MICHELLE PEREIRA
Social Worker (Clinical)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. LAUREN BURR OZBOLT MD
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
DR. MITCHELL DEAN ARNOVITZ MD
Psychiatry & Neurology (Psychiatry)
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989
JAN LINDSEY JACKSON LMSW
Social Worker
300 UCLA MEDICAL PLZ STE 1100
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9989

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 Krista Tabuenca's NPI number?

The NPI number for Krista Tabuenca is 1255813762. It was assigned to this individual provider in the NPPES registry on August 30, 2018.

Where is Krista Tabuenca located?

Krista Tabuenca practices at 300 Ucla Medical Plz Ste 1100, Los Angeles, CA 90095. The listed phone number is (310) 825-9989.

What is Krista Tabuenca's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Krista Tabuenca enrolled in Medicare?

Yes. Krista Tabuenca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krista Tabuenca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Tabuenca reassigns Medicare benefits to Uc Regents (Los Angeles, 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 Krista Tabuenca'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 Krista Tabuenca was last updated on July 15, 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.