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CHARLOTTE CAPULONG NP-C
NPI 1417370065
Nurse Practitioner in Glendora, CA

Active since January 31, 2014PECOS Enrolled
130 WEST ROUTE 66, STE 326, GLENDORA, CA 91740(626) 963-8588(626) 963-8578 Get Directions Write a Review

NPPES record last updated: January 31, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charlotte Capulong Np-c NPPES

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

CHARLOTTE CAPULONG NP-C (NPI 1417370065) is an individual nurse practitioner in Glendora, California, licensed in California (NP23824) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417370065
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARLOTTE CAPULONGCredential: NP-C
Location Address130 WEST ROUTE 66, STE 326Glendora, CA 91740-6252
Mailing AddressPo Box 457San Dimas, CA 91773-0457 · (909) 971-9334 · Fax (909) 971-9654
Phone(626) 963-8588
Fax(626) 963-8578
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 31, 2014
✔ NPI 1417370065 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 · NP23824
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.
130 WEST ROUTE 66, Glendora, CA 91740
Open in Google Maps ↗

Other Identifiers 1

OtherNP23824CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlotte Capulong Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678883956
PECOS Enrollment IDI20151117002513
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

2

Medicare enrollment records show Charlotte Capulong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grandview Medical Group, Inc.
3.0 mi
Interventional Cardiology
625 E BADILLO ST
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1356007819 (626) 915-7300
Mayflower Medical Group, Inc.
3.2 mi
Family Medicine
1433 N. HOLLENBECK AVE., SUITE 200
Covina, CA 91722
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1932146370 (626) 331-2209

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 91740 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 2

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

MR. OLIVER M SOLOMON DO
Internal Medicine
130 WEST ROUTE 66, SUITE 326
GLENDORA, CA 91740
Los Angeles County (626) 963-8588
DR. NILESH NAVIN PATEL MD
Internal Medicine (Infectious Disease)
130 WEST ROUTE 66, #302
GLENDORA, CA 91740
Los Angeles County (626) 914-1514

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 Charlotte Capulong's NPI number?

The NPI number for Charlotte Capulong is 1417370065. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Charlotte Capulong located?

Charlotte Capulong practices at 130 West Route 66 Ste 326, Glendora, CA 91740. The listed phone number is (626) 963-8588.

What is Charlotte Capulong's specialty?

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

Is Charlotte Capulong enrolled in Medicare?

Yes. Charlotte Capulong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charlotte Capulong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Capulong reassigns Medicare benefits to 2 organizations: Grandview Medical Group, Inc. (Covina, CA) and Mayflower Medical Group, Inc. (Covina, 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 Charlotte Capulong'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 Charlotte Capulong was last updated on January 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.