DARLENE MULYANTO-MONG
NPI 1255873717
Nurse Practitioner - Acute Care in Los Angeles, CA

Q: 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.

Q: 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.

Active since November 14, 2016PECOS Enrolled

2051 MARENGO ST, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2025, Sep 28, 2022, Aug 8, 2022 and 3 more (6 updates tracked since 2016).

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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 Los Angeles, California, licensed in California (95004975) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1255873717

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameDARLENE MULYANTO-MONG

Location Address2051 MARENGO STLos Angeles, CA 90033-1352

Mailing Address336 N Isabel St Apt 7Glendale, CA 91206-3675

Phone(323) 409-1000

Sole ProprietorNo

Enumeration DateNovember 14, 2016

Last NPPES UpdateMay 19, 20256 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1255873717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in CA · 95004975

2051 MARENGO ST, Los Angeles, CA 90033

Open in Google Maps ↗

Secondary Practice Locations 5

Location 114445 Olive View Dr, North AnnexSylmar, CA 91342-1437 · Phone (818) 364-1555

Location 21001 Galaxy Way # 400Concord, CA 94520-5725 · Phone (925) 225-5837

Location 31245 Wilshire Blvd Ste 703Los Angeles, CA 90017-4807 · Phone (213) 977-0419

Location 4500 N Garfield Ave Ste 308Monterey Park, CA 91754-1242 · Phone (626) 307-1043

Location 51500 San Pablo StLos Angeles, CA 90033-5313 · Phone (800) 872-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Darlene Mulyanto-mong 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.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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 20

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

DR. ISHAQUE ALI SYED M.D.

Internal Medicine