1. Home
  2. Directory
  3. California
  4. Panorama City
  5. Dermatology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NATHALIE C SAN LUIS FNP-BC
NPI 1538911326
Dermatology in Panorama City, CA

Active since April 04, 2024PECOS Enrolled
8001 VENTURA CANYON AVE, PANORAMA CITY, CA 91402(818) 375-2000 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2026, Aug 4, 2026, May 16, 2026 and 4 more (7 updates tracked since 2024).

About Nathalie C San Luis Fnp-bc NPPES

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

NATHALIE C SAN LUIS FNP-BC (NPI 1538911326) is an individual dermatology provider in Panorama City, California, licensed in California (95029806) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Granada Hills, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1538911326
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameNATHALIE C SAN LUISCredential: FNP-BC
Location Address8001 VENTURA CANYON AVEPanorama City, CA 91402-6312
Mailing Address11539 Babbitt AveGranada Hills, CA 91344-2404
Phone(818) 375-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 4, 2024
Last NPPES UpdateOctober 31, 20267 updates tracked since enumeration
NPPES CertifiedOctober 31, 2026
✔ NPI 1538911326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · 95029806
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 846718 (CA)
8001 VENTURA CANYON AVE, Panorama City, CA 91402
Open in Google Maps ↗

Other Names 1

Former Name (1)Nathalie Christine De Guzman Np

Secondary Practice Location 1

Location 110316 Woodley AveGranada Hills, CA 91344-6916 · Phone (818) 368-5651

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Nathalie C San Luis Fnp-bc 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 ID2567936487
PECOS Enrollment IDI20260701003454
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 Nathalie San Luis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
0.3 mi
Health Maintenance Organization
13652 CANTARA ST
Panorama City, CA 91402
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1407888928 (818) 375-2000

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 91402 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
$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 6

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

KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (866) 362-5432
DR. ZVART ABARYAN MD
Pediatrics
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (833) 574-2273
ERICA CUA CHEN M.D.
Allergy & Immunology
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (833) 574-2273
MRS. SANDRA ELENA BONILLA LCSW
Social Worker (Clinical)
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2904
MADELEINE COLLAS
Pharmacist
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (818) 375-2028
MYRNA SALIM ABOUDIAB MD
Pediatrics
8001 VENTURA CANYON AVE
PANORAMA CITY, CA 91402
Los Angeles County (833) 574-2273

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 Nathalie San Luis's NPI number?

The NPI number for Nathalie San Luis is 1538911326. It was assigned to this individual provider in the NPPES registry on April 4, 2024. The provider is also known as Nathalie Christine De Guzman Np.

Where is Nathalie San Luis located?

Nathalie San Luis practices at 8001 Ventura Canyon Ave, Panorama City, CA 91402. The listed phone number is (818) 375-2000.

What is Nathalie San Luis's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nathalie San Luis enrolled in Medicare?

Yes. Nathalie San Luis 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 Nathalie San Luis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathalie San Luis reassigns Medicare benefits to Southern California Permanente Medical Group (Panorama City, 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 Nathalie San Luis'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 Nathalie San Luis was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.