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MELISSA BANUELOS
NPI 1508470071
Social Worker - Clinical in Los Angeles, CA

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
840 N AVENUE 66, LOS ANGELES, CA 90042(626) 395-7100 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 7, 2021, Oct 12, 2020, Sep 2, 2020 (3 updates tracked since 2020).

About Melissa Banuelos NPPES

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

MELISSA BANUELOS (NPI 1508470071) is an individual clinical provider in Los Angeles, California and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508470071
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA BANUELOS
Location Address840 N AVENUE 66Los Angeles, CA 90042-1508
Mailing Address872 W Bonita Ave Apt 123Claremont, CA 91711-4178 · (209) 613-5043
Phone(626) 395-7100
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 2, 2020
Last NPPES UpdateAugust 20, 20253 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1508470071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
840 N AVENUE 66, Los Angeles, CA 90042
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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

Melissa Banuelos 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 ID446740666
PECOS Enrollment IDI20251106002704
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 Reassignment

Medicare enrollment records show Melissa Banuelos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sokyahealth Medical Group PC
104 mi
Mental Health
5060 SHOREHAM PL STE 330
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • 245 clinicians in this Medicare group
NPI 1942970330 (858) 427-5060

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 90042 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
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
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.

DR. JENNIE M. MATHESS PSY.D.
Psychologist (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
RUBY A GARCIA LPT
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
ALICIA GUERRA
Rehabilitation Practitioner
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MS. ROMINA MONSERRAT TEJEDA LMFT
Marriage & Family Therapist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MARISSA LEE LUBAG
Peer Specialist
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MAYRA MELGOZA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
EVELYN AVILA
Social Worker (Clinical)
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100
MALIYA GUERCY
Licensed Psychiatric Technician
840 N AVENUE 66
LOS ANGELES, CA 90042
Los Angeles County (626) 395-7100

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 Melissa Banuelos's NPI number?

The NPI number for Melissa Banuelos is 1508470071. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Melissa Banuelos located?

Melissa Banuelos practices at 840 N Avenue 66, Los Angeles, CA 90042. The listed phone number is (626) 395-7100.

What is Melissa Banuelos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melissa Banuelos enrolled in Medicare?

Yes. Melissa Banuelos 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 organization bills Medicare for Melissa Banuelos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Banuelos reassigns Medicare benefits to Sokyahealth Medical Group PC (San Diego, CA). The 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 Melissa Banuelos'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 Melissa Banuelos was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.