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STEFANIYA TABANLIEVA N.P.
NPI 1508617630
Nurse Practitioner - Gerontology in San Diego, CA

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment
200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 8, 2025, May 13, 2024 (2 updates tracked since 2024).

About Stefaniya Tabanlieva N.p. NPPES

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

STEFANIYA TABANLIEVA N.P. (NPI 1508617630) is an individual gerontology provider in San Diego, California, licensed in California (95027914) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508617630
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSTEFANIYA TABANLIEVACredential: N.P.
Location Address200 W ARBOR DRSan Diego, CA 92103-9000
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(800) 926-8273
Fax(888) 539-8781
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 28, 2024
Last NPPES UpdateDecember 8, 20252 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1508617630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95027914
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11029241 (FL)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 11029241 (FL)
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Secondary Practice Locations 2

Location 19300 Campus Point DrLa Jolla, CA 92037-1300 · Phone (800) 926-8273 · Fax (888) 539-8781
Location 21000 Fivepoint Ste AIrvine, CA 92618-2621 · Phone (949) 671-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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

Stefaniya Tabanlieva N.p. 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 ID4284176504
PECOS Enrollment IDI20251112003611
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 Stefaniya Tabanlieva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
Same address
Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,051 clinicians in this Medicare group
NPI 1487772380 (800) 926-8273
City Of Hope Medical Foundation
106 mi
Hematology & Oncology
1500 DUARTE RD
Duarte, CA 91010
  • Reassigned Medicare billing, California enrollment
  • 1,335 clinicians in this Medicare group
NPI 1871886366 (626) 256-4673

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 92103 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 20

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

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Stefaniya Tabanlieva's NPI number?

The NPI number for Stefaniya Tabanlieva is 1508617630. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Stefaniya Tabanlieva located?

Stefaniya Tabanlieva practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.

What is Stefaniya Tabanlieva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Stefaniya Tabanlieva enrolled in Medicare?

Yes. Stefaniya Tabanlieva 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 Stefaniya Tabanlieva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefaniya Tabanlieva reassigns Medicare benefits to 2 organizations: Regents Of The University Of California (San Diego, CA) and City Of Hope Medical Foundation (Duarte, CA). 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 Stefaniya Tabanlieva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefaniya Tabanlieva accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Stefaniya Tabanlieva 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.

When was this NPI record last updated?

The NPPES record for Stefaniya Tabanlieva was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.