LEONORA B BANTUGAN
NPI 1285393181
Nurse Practitioner in Los Angeles, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Leonora Bantugan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mission Hills, CA 91345
- Reassigned Medicare billing, California enrollment
- 22 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 2
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 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Leonora Bantugan's NPI number?
The NPI number for Leonora Bantugan is 1285393181. It was assigned to this individual provider in the NPPES registry on December 8, 2021.
Where is Leonora Bantugan located?
Leonora Bantugan practices at 200 Ucla Medical Plz Ste 565C, Los Angeles, CA 90095. The listed phone number is (310) 267-2555.
What is Leonora Bantugan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Leonora Bantugan enrolled in Medicare?
Yes. Leonora Bantugan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Leonora Bantugan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leonora Bantugan reassigns Medicare benefits to Kidney Consultants Medical Group, Inc (Mission Hills, 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 Leonora Bantugan'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 Leonora Bantugan was last updated on August 1, 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.
# Leonora B Bantugan · NPI 1285393181
Nurse Practitioner physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 8, 2021.
## Identity
- **NPI:** 1285393181 (Entity type: Individual)
- **Enumerated:** December 8, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95019337 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 UCLA MEDICAL PLZ STE 565C, Los Angeles, CA 90095-1252
- **Phone:** (310) 267-2555
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kidney Consultants Medical Group, Inc (NPI 1427120682, Mission Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285393181) · Data from the CMS NPPES public registry.