ETHEL ANTONIO NP
NPI 1386778967
Nurse Practitioner - Family in Westlake Village, CA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
31194 LA BAYA DR, WESTLAKE VILLAGE, CA 91362(805) 341-3416(818) 369-0197 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Dec 31, 2024, Dec 11, 2021 and 3 more (6 updates tracked since 2017).

About Ethel Antonio Np NPPES

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

ETHEL ANTONIO NP (NPI 1386778967) is an individual family provider in Westlake Village, California, licensed in California (95007507) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1386778967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameETHEL ANTONIOCredential: NP
Location Address31194 LA BAYA DRWestlake Village, CA 91362-4022
Mailing Address31194 La Baya DrWestlake Village, CA 91362-4022 · (805) 341-3416 · Fax (818) 369-0197
Fax(818) 369-0197
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 15, 2007
Last NPPES UpdateAugust 5, 20266 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1386778967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95007507
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95007507 (CA)
31194 LA BAYA DR, Westlake Village, CA 91362

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

Ethel Antonio Np 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 ID5294074860
PECOS Enrollment IDI20190226000465
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 Reassignments

11

Medicare enrollment records show Ethel Antonio reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Child & Adolescent Psychiatry
31194 LA BAYA DR STE 202
Westlake Village, CA 91362
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
8501 FALLBROOK AVE STE 300
West Hills, CA 91304
  • Reassigned Medicare billing, California enrollment
  • 205 clinicians in this Medicare group
Health Maintenance Organization
5601 DE SOTO AVE
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
Physician Assistant
17074 DEVONSHIRE ST
Northridge, CA 91325
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Marriage & Family Therapist
15720 VENTURA BLVD STE 420
Encino, CA 91436
  • Reassigned Medicare billing, California enrollment
  • 16 clinicians in this Medicare group
Community Health
8527 SEPULVEDA BLVD
North Hills, CA 91343
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
Psychiatry
898 N FAIR OAKS AVE STE G
Pasadena, CA 91103
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
General Practice
741 S ORANGE AVE
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
Psychologist
954 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 76 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91362 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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

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

Dietitian, Registered
31194 LA BAYA DR, SUITE 107
WESTLAKE VILLAGE, CA 91362

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 Ethel Antonio's NPI number?

The NPI number for Ethel Antonio is 1386778967. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Ethel Antonio located?

Ethel Antonio practices at 31194 La Baya Dr, Westlake Village, CA 91362. The listed phone number is (805) 341-3416.

What is Ethel Antonio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ethel Antonio enrolled in Medicare?

Yes. Ethel Antonio 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 organizations bill Medicare for Ethel Antonio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethel Antonio reassigns Medicare benefits to 11 organizations: Sabira Saifuddin MD A Medical Corp (Westlake Village, CA), Lakeside Medical Organization, A Medical Group Inc. (West Hills, CA), Southern California Permanente Medical Group (Woodland Hills, CA), Psychiatry And Mental Health, A Physician Assistant Corporation (Northridge, CA), Find Your Balance Therapy Center & Family Services A Professional Cor (Encino, CA) and 6 more organizations, listed in the Medicare section above. Each 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 Ethel Antonio'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 Ethel Antonio was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.