GRACELYNE LEBNYONGA SEPPO
NPI 1417662933
Physician Assistant in Los Angeles, CA

Active since January 18, 2023PECOS EnrolledAccepts Medicare Assignment
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 563-4800 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gracelyne Lebnyonga Seppo NPPES

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

GRACELYNE LEBNYONGA SEPPO (NPI 1417662933) is an individual physician assistant in Los Angeles, California and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417662933
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGRACELYNE LEBNYONGA SEPPO
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051 · (323) 563-4800
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
NPI 1417662933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1731 E 120TH ST, Los Angeles, CA 90059

Accepted Insurance

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

Gracelyne Lebnyonga Seppo 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 ID6709326473
PECOS Enrollment IDI20240909002292
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 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.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059

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 Gracelyne Seppo's NPI number?

The NPI number for Gracelyne Seppo is 1417662933. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Gracelyne Seppo located?

Gracelyne Seppo practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 563-4800.

What is Gracelyne Seppo's specialty?

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

Is Gracelyne Seppo enrolled in Medicare?

Yes. Gracelyne Seppo 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.

What insurance does Gracelyne Seppo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gracelyne Seppo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gracelyne Seppo affiliated with any hospitals?

According to CMS data, Gracelyne Seppo is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Gracelyne Seppo was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.