LEONORA B BANTUGAN
NPI 1285393181
Nurse Practitioner in Los Angeles, CA

Active since December 08, 2021PECOS EnrolledAccepts Medicare Assignment
200 UCLA MEDICAL PLZ STE 565C, LOS ANGELES, CA 90095(310) 267-2555 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2024, Oct 3, 2022, Dec 8, 2021 (3 updates tracked since 2021).

About Leonora B Bantugan NPPES

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

LEONORA B BANTUGAN (NPI 1285393181) is an individual nurse practitioner in Los Angeles, California, licensed in California (95019337) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mission Hills, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285393181
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLEONORA B BANTUGAN
Location Address200 UCLA MEDICAL PLZ STE 565CLos Angeles, CA 90095-1252
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 8, 2021
Last NPPES UpdateAugust 1, 20243 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1285393181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95019337
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95019337 (CA)
200 UCLA MEDICAL PLZ STE 565C, Los Angeles, CA 90095

Secondary Practice Location 1

Location 111550 Indian Hills Rd Ste 371Mission Hills, CA 91345-1252 · Phone (818) 365-1194 · Fax (818) 898-3835

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leonora B Bantugan 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.

PECOS PAC ID840668091
PECOS Enrollment IDI20221121000775
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services56 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services12 patients

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
$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 3

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

Internal Medicine (Nephrology)
200 UCLA MEDICAL PLZ STE 565C
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 UCLA MEDICAL PLZ STE 565C
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 UCLA MEDICAL PLZ STE 565C
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285393181, enumerated as an "individual" on December 08, 2021.

The provider is located at 200 UCLA MEDICAL PLZ STE 565C LOS ANGELES, CA 90095 and the phone number is (310) 267-2555.

Nurse Practitioner with taxonomy code 363L00000X.