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MRS. SUSANA FAVILA FNP
NPI 1447679790
Nurse Practitioner - Family in El Centro, CA

Active since April 15, 2014PECOS Enrolled
2205 ROSS AVE STE 101, EL CENTRO, CA 92243(760) 353-0404 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Susana Favila Fnp NPPES

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

MRS. SUSANA FAVILA FNP (NPI 1447679790) is an individual family provider in El Centro, California, licensed in California (F0414053) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Imperial.

NPPES Registry Identity

NPI1447679790
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSANA FAVILACredential: FNP
Location Address2205 ROSS AVE STE 101El Centro, CA 92243-3623
Mailing Address4225 Executive Sq Ste 450La Jolla, CA 92037-8411 · (858) 810-8000 · Fax (858) 268-1911
Phone(760) 353-0404
Sole ProprietorNo
Enumeration DateApril 15, 2014
Last NPPES UpdateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1447679790 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 · F0414053
2205 ROSS AVE STE 101, El Centro, CA 92243
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Secondary Practice Location 1

Location 1667 Yucca StImperial, CA 92251-8925 · Phone (760) 554-8180

Other Identifiers 1

OtherF0414053CA · Np Certification

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Susana Favila Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92243 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
$90.40 typical visit price
range $58.90 – $176.72
Typical copayment $22.60 (range $14.72 – $44.18)
Most-billed visit code 99203
Established Patient
$103.42 typical visit price
range $19.28 – $144.68
Typical copayment $25.85 (range $4.82 – $36.17)
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.

DR. IRMARIS RAQUEL QUINONES VARGAS MD
Internal Medicine (Nephrology)
2205 ROSS AVE STE 101
EL CENTRO, CA 92243
Imperial County (760) 353-0404
MARIA JOSE HERRERA FNP-C
Nurse Practitioner (Family)
2205 ROSS AVE STE 101
EL CENTRO, CA 92243
Imperial County (760) 353-0404

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 Susana Favila's NPI number?

The NPI number for Susana Favila is 1447679790. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Susana Favila located?

Susana Favila practices at 2205 Ross Ave Ste 101, El Centro, CA 92243. The listed phone number is (760) 353-0404.

What is Susana Favila's specialty?

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

Is Susana Favila enrolled in Medicare?

Yes. Susana Favila is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susana Favila was last updated on February 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.