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RAMON TIBAY PACINA JR. NP
NPI 1407434004
Nurse Practitioner - Family in Carson, CA

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment
9.4/100
CMS Quality Rating
23018 MONETA AVE, CARSON, CA 90745(310) 830-9577 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2026, Jul 15, 2021, Jul 9, 2021 and 1 more (4 updates tracked since 2021).

About Ramon Tibay Pacina Jr. Np NPPES

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

RAMON TIBAY PACINA JR. NP (NPI 1407434004) is an individual family provider in Carson, California, licensed in California (95017039) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1407434004
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRAMON TIBAY PACINA JR.Credential: NP
Location Address23018 MONETA AVECarson, CA 90745-4732
Mailing Address1819 Washington Ave, Apt ASanta Monica, CA 90403-3324 · (818) 934-7833 · Fax (562) 786-8613
Phone(310) 830-9577
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 2, 2021
Last NPPES UpdateMay 8, 20264 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1407434004 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 · 95017039
23018 MONETA AVE, Carson, CA 90745
Open in Google Maps ↗

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

Ramon Tibay Pacina Jr. 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 ID2466855713
PECOS Enrollment IDI20210723000919
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

5

Medicare enrollment records show Ramon Pacina reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
5.3 mi
General Practice
1937 PACIFIC AVE
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
NPI 1750326609 (562) 591-7302
Dr Mona Shah Professional Corporation
6.0 mi
Internal Medicine
1600 S GAFFEY ST
San Pedro, CA 90731
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1053643171 (310) 548-0201
Prode P. Pascual, M.D., Inc.
11 mi
Primary Care
18331 GRIDLEY RD, SUITE C
Cerritos, CA 90703
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Prode P Pascual MD Inc
  • 3 clinicians in this Medicare group
NPI 1649646209 (562) 865-0213
Syed Hossain, M.D., Inc
17 mi
Family Medicine
1711 W TEMPLE ST STE 4665
Los Angeles, CA 90026
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1710274881 (213) 484-5250
Advanced Hematology Oncology Medical Group Inc
18 mi
Multi-Specialty
6221 WILSHIRE BLVD STE 504
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1083142376 (323) 965-9995

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 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,484 services306 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
874 services258 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
869 services314 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
210 services164 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
193 services159 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
154 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90745 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

9.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost31.33

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 Ramon Pacina's NPI number?

The NPI number for Ramon Pacina is 1407434004. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Ramon Pacina located?

Ramon Pacina practices at 23018 Moneta Ave, Carson, CA 90745. The listed phone number is (310) 830-9577.

What is Ramon Pacina's specialty?

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

Is Ramon Pacina enrolled in Medicare?

Yes. Ramon Pacina 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 Ramon Pacina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramon Pacina reassigns Medicare benefits to 5 organizations: (Long Beach, CA), Dr Mona Shah Professional Corporation (San Pedro, CA), Prode P. Pascual, M.D., Inc. (Cerritos, CA), Syed Hossain, M.D., Inc (Los Angeles, CA) and Advanced Hematology Oncology Medical Group Inc (Los Angeles, CA). 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 Ramon Pacina'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 Ramon Pacina was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.