DARLENE MULYANTO-MONG
NPI 1255873717
Nurse Practitioner - Acute Care in Orange, CA
About Darlene Mulyanto-mong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARLENE MULYANTO-MONG (NPI 1255873717) is an individual acute care provider in Orange, California, licensed in California (95004975) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Darlene Mulyanto-mong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Darlene Mulyanto-mong reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellflower, CA 90706
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 clinicians in this Medicare group
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Glendale, CA 91204
- Reassigned Medicare billing, California enrollment
- 61 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 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.
ORANGE, CA 92868
ORANGE, CA 92868
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 Darlene Mulyanto-mong's NPI number?
The NPI number for Darlene Mulyanto-mong is 1255873717. It was assigned to this individual provider in the NPPES registry on November 14, 2016.
Where is Darlene Mulyanto-mong located?
Darlene Mulyanto-mong practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-7890.
What is Darlene Mulyanto-mong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Darlene Mulyanto-mong enrolled in Medicare?
Yes. Darlene Mulyanto-mong is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Darlene Mulyanto-mong's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Mulyanto-mong reassigns Medicare benefits to 3 organizations: County Of Los Angeles Auditor Controller (Bellflower, CA), Usc Care Medical Group, Inc (Los Angeles, CA) and Willow Brook Critical Care Medical Group, Inc (Glendale, CA). Each 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 Darlene Mulyanto-mong'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 Darlene Mulyanto-mong was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.
# Darlene Mulyanto-Mong · NPI 1255873717
Acute Care physician in Orange, California. Individual provider, active in the CMS NPPES registry since November 14, 2016.
## Identity
- **NPI:** 1255873717 (Entity type: Individual)
- **Enumerated:** November 14, 2016
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95004975 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 THE CITY DR S, Orange, CA 92868-3201
- **Phone:** (714) 456-7890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles Auditor Controller (NPI 1689695892, Bellflower, CA); Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Willow Brook Critical Care Medical Group, Inc (NPI 1811520224, Glendale, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1255873717) · Data from the CMS NPPES public registry.