DANICA-ELLA M PANTOJA FNP-BC
NPI 1457860074
Nurse Practitioner - Family in San Diego, CA

Active since September 26, 2017PECOS Enrolled
10251 VISTA SORRENTO PKWY STE 280, SAN DIEGO, CA 92121(888) 380-0988(289) 236-3022 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2021, Mar 17, 2018, Mar 9, 2018 and 1 more (4 updates tracked since 2017).

About Danica-ella M Pantoja Fnp-bc NPPES

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

DANICA-ELLA M PANTOJA FNP-BC (NPI 1457860074) is an individual family provider in San Diego, California, licensed in California (95016725) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457860074
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANICA-ELLA M PANTOJACredential: FNP-BC
Location Address10251 VISTA SORRENTO PKWY STE 280San Diego, CA 92121-3776
Mailing Address2950 Buskirk Ave Ste 300Walnut Creek, CA 94597-6900 · (888) 380-0988 · Fax (289) 236-3022
Fax(289) 236-3022
Sole ProprietorNo
Enumeration DateSeptember 26, 2017
Last NPPES UpdateNovember 23, 20214 updates tracked since enumeration
NPPES CertifiedNovember 23, 2021
✔ NPI 1457860074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95016725
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001219626 (VA), RN1017188 (DC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License AC002184 (MD), 00024175615 (VA)
10251 VISTA SORRENTO PKWY STE 280, San Diego, CA 92121

Other Identifiers 1

Medicaid2017011092VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danica-ella M Pantoja Fnp-bc 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.

Medicare Billing Reassignments

2

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

Legal Medicine
340 4TH AVE, #9
Chula Vista, CA 91910
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
Nurse Practitioner
5372 FALLOWATER LN STE 200
Roanoke, VA 24018
  • Reassigned Medicare billing, Virginia enrollment
  • 28 clinicians in this Medicare group

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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92121 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 6

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

Psychiatry & Neurology (Psychiatry)
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121
Social Worker (Clinical)
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121
Social Worker (Clinical)
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121
Nurse Practitioner (Family)
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121
Social Worker (Clinical)
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121
Physician Assistant
10251 VISTA SORRENTO PKWY STE 280
SAN DIEGO, CA 92121

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 Danica-ella Pantoja's NPI number?

The NPI number for Danica-ella Pantoja is 1457860074. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Danica-ella Pantoja located?

Danica-ella Pantoja practices at 10251 Vista Sorrento Pkwy Ste 280, San Diego, CA 92121. The listed phone number is (888) 380-0988.

What is Danica-ella Pantoja's specialty?

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

Is Danica-ella Pantoja enrolled in Medicare?

Yes. Danica-ella Pantoja is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danica-ella Pantoja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danica-ella Pantoja reassigns Medicare benefits to 2 organizations: South Bay Geriatric And Internal Medicine Inc (Chula Vista, CA) and Atlantic Healthcare Services LLC (Roanoke, VA). 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 Danica-ella Pantoja'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 Danica-ella Pantoja was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.