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HAIDEE TABANAO NP-BC
NPI 1346920634
Nurse Practitioner in Downey, CA

Active since July 20, 2023PECOS EnrolledAccepts Medicare Assignment
11500 BROOKSHIRE AVE, DOWNEY, CA 90241(562) 904-5000 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2024, Jul 20, 2023 (2 updates tracked since 2023).

About Haidee Tabanao Np-bc NPPES

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

HAIDEE TABANAO NP-BC (NPI 1346920634) is an individual nurse practitioner in Downey, California, licensed in California (95025755) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346920634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHAIDEE TABANAOCredential: NP-BC
Location Address11500 BROOKSHIRE AVEDowney, CA 90241-4917
Mailing Address11500 Brookshire AveDowney, CA 90241-4917 · (562) 904-5000
Phone(562) 904-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 20, 2023
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1346920634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95025755
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.
11500 BROOKSHIRE AVE, Downey, CA 90241
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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

Haidee Tabanao Np-bc 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 ID4486185238
PECOS Enrollment IDI20241003001585
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 Haidee Tabanao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pih Health Physicians
Same address
Anesthesiology
11500 BROOKSHIRE AVE
Downey, CA 90241
  • Reassigned Medicare billing, California enrollment
  • 840 clinicians in this Medicare group
NPI 1447931506 (562) 904-5000

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 90241 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.

ANDREW SALEEB
Student in an Organized Health Care Education/Training Program
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (469) 401-3286
MANDAAR GOKHALE MD
Emergency Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
AVA AZIMI M.D.
Internal Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
VIVIAN TO DO
Hospitalist
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
DAVID ROGERS GARVER M.D.
Anesthesiology
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (560) 904-5000
KEVIN OEI
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5000
DR. ELIZABETH FRANCES GIBBS DO
Family Medicine
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Los Angeles County (562) 904-5482

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 Haidee Tabanao's NPI number?

The NPI number for Haidee Tabanao is 1346920634. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Haidee Tabanao located?

Haidee Tabanao practices at 11500 Brookshire Ave, Downey, CA 90241. The listed phone number is (562) 904-5000.

What is Haidee Tabanao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Haidee Tabanao enrolled in Medicare?

Yes. Haidee Tabanao 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 Haidee Tabanao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haidee Tabanao reassigns Medicare benefits to Pih Health Physicians (Downey, 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 Haidee Tabanao'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 Haidee Tabanao was last updated on August 22, 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.