TATYANA BASULTO PA-C
NPI 1366200693
Physician Assistant in Los Angeles, CA

Q: What is Tatyana Basulto's NPI number?

The NPI number for Tatyana Basulto is 1366200693. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Q: What is Tatyana Basulto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tatyana Basulto was last updated on March 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 11, 2024PECOS Enrolled

325 E 7TH ST, LOS ANGELES, CA 90014(213) 893-1960 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Tatyana Basulto Pa-c NPPES

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

TATYANA BASULTO PA-C (NPI 1366200693) is an individual physician assistant in Los Angeles, California, licensed in California (PA64098) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366200693

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTATYANA BASULTOCredential: PA-C

Location Address325 E 7TH STLos Angeles, CA 90014-2209

Mailing Address300 N Rampart St Trlr 139Orange, CA 92868-1819 · (714) 675-1793

Phone(213) 893-1960

Sole ProprietorNo

Enumeration DateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1366200693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA64098

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

325 E 7TH ST, Los Angeles, CA 90014

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatyana Basulto Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90014 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.