KATRINA JOYCE PACHECO ANG FNP-C
NPI 1497455760
Nurse Practitioner - Family in Marina Del Rey, CA

Active since March 06, 2023PECOS EnrolledAccepts Medicare Assignment
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292(888) 880-3451 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katrina Joyce Pacheco Ang Fnp-c NPPES

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

KATRINA JOYCE PACHECO ANG FNP-C (NPI 1497455760) is an individual family provider in Marina Del Rey, California, licensed in California (95023421) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497455760
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATRINA JOYCE PACHECO ANGCredential: FNP-C
Location Address4640 ADMIRALTY WAY STE 500Marina Del Rey, CA 90292-6636
Mailing Address256 W RidgewoodLong Beach, CA 90805-6974 · (714) 501-4208
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1497455760 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 · 95023421
4640 ADMIRALTY WAY STE 500, Marina Del Rey, CA 90292

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

Katrina Joyce Pacheco Ang Fnp-c 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 ID7214394899
PECOS Enrollment IDI20230613002754
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

7

Medicare enrollment records show Katrina Joyce Ang reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 40 clinicians in this Medicare group
Infectious Disease
11103 VENICE BLVD
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Minghsun Liu MD PC
  • 95 clinicians in this Medicare group
Internal Medicine
3848 W CARSON ST STE 306
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
Internal Medicine
23639 HAWTHORNE BLVD, SUITE 102
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Azhar Muttalib M D A Professional Corporation
  • 3 clinicians in this Medicare group
Family Medicine
313 E PROVIDENCIA AVE APT F
Burbank, CA 91502
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
Critical Care Medicine
4234 RIVERWALK PKWY, SUITE 230
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
Geriatric Medicine
2353 23RD ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 111 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 18

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
521 services108 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
456 services87 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
381 services42 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
276 services42 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.
193 services35 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.
188 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90292 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 4

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

Marriage & Family Therapist
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
General Practice
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Nurse Practitioner (Family)
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Nurse Practitioner
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292

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 Katrina Joyce Ang's NPI number?

The NPI number for Katrina Joyce Ang is 1497455760. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Katrina Joyce Ang located?

Katrina Joyce Ang practices at 4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292. The listed phone number is (888) 880-3451.

What is Katrina Joyce Ang's specialty?

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

Is Katrina Joyce Ang enrolled in Medicare?

Yes. Katrina Joyce Ang 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 Katrina Joyce Ang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Joyce Ang reassigns Medicare benefits to 7 organizations: Wt Health Of California LLC (Los Angeles, CA), Minghsun Liu, M.D., PC (Los Angeles, CA), Velocure (Torrance, CA), Azhar Muttalib MD A Professional Corporation (Torrance, CA), Integrated Allied Medical Group (Burbank, CA) and 2 more organizations, listed in the Medicare section above. 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 Katrina Joyce Ang'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 Katrina Joyce Ang was last updated on March 6, 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.