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LAVERNI CANONIGO SUICO FNP-C
NPI 1396534335
Nurse Practitioner - Family in Fontana, CA

Active since May 05, 2025PECOS EnrolledAccepts Medicare Assignment
4989 AGAVE AVE, FONTANA, CA 92336(323) 447-3068 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laverni Canonigo Suico Fnp-c NPPES

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

LAVERNI CANONIGO SUICO FNP-C (NPI 1396534335) is an individual family provider in Fontana, California, licensed in California (95030500) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396534335
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAVERNI CANONIGO SUICOCredential: FNP-C
Location Address4989 AGAVE AVEFontana, CA 92336-5961
Mailing Address4989 Agave AveFontana, CA 92336-5961 · (323) 447-3068
Phone(323) 447-3068
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1396534335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95030500
4989 AGAVE AVE, Fontana, CA 92336
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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

Laverni Canonigo Suico Fnp-c 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 ID1456829985
PECOS Enrollment IDI20260504006100
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 92336 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Laverni Suico's NPI number?

The NPI number for Laverni Suico is 1396534335. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Where is Laverni Suico located?

Laverni Suico practices at 4989 Agave Ave, Fontana, CA 92336. The listed phone number is (323) 447-3068.

What is Laverni Suico's specialty?

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

Is Laverni Suico enrolled in Medicare?

Yes. Laverni Suico 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.

When was this NPI record last updated?

The NPPES record for Laverni Suico was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.