MRS. MERON DESTA
NPI 1598454563
Nurse Practitioner - Family in Santa Clarita, CA

Active since May 04, 2023PECOS EnrolledAccepts Medicare Assignment
25880 MCBEAN PKWY, SANTA CLARITA, CA 91355(661) 254-3766 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Meron Desta NPPES

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

MRS. MERON DESTA (NPI 1598454563) is an individual family provider in Santa Clarita, California, licensed in California (95023853) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598454563
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MERON DESTA
Location Address25880 MCBEAN PKWYSanta Clarita, CA 91355-2004
Mailing Address9900 Gothic AveNorth Hills, CA 91343-1246 · (818) 304-2907
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2023
NPPES CertifiedMay 4, 2023
NPI 1598454563 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 · 95023853
25880 MCBEAN PKWY, Santa Clarita, CA 91355

Other Names 1

Former Name (1)Mrs. Meron Desta Gessese

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Meron Desta 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 ID7315305489
PECOS Enrollment IDI20230621003376
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91355 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 10

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

Pharmacy
25880 MCBEAN PKWY
SANTA CLARITA, CA 91355
Pharmacist
25880 MCBEAN PKWY
VALENCIA, CA 91355
Pharmacist
25880 MCBEAN PKWY
VALENCIA, CA 91355
Pharmacist
25880 MCBEAN PKWY
SANTA CLARITA, CA 91355
Pharmacist
25880 MCBEAN PKWY
VALENCIA, CA 91355
Pharmacist
25880 MCBEAN PKWY
VALENCIA, CA 91355
Nurse Practitioner (Primary Care)
25880 MCBEAN PKWY
SANTA CLARITA, CA 91355
Nurse Practitioner (Family)
25880 MCBEAN PKWY
SANTA CLARITA, CA 91355

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598454563, enumerated as an "individual" on May 04, 2023.

The provider is located at 25880 MCBEAN PKWY SANTA CLARITA, CA 91355 and the phone number is (661) 254-3766.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.