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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. MAY ROSE VILLASIN KURNIAWAN PAC
NPI 1609096742
Physician Assistant in Glendale, CA

Active since April 30, 2007PECOS Enrolled
225 W BROADWAY, SUITE 100, GLENDALE, CA 91204(888) 727-1771(818) 545-7606 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. May Rose Villasin Kurniawan Pac NPPES

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

MRS. MAY ROSE VILLASIN KURNIAWAN PAC (NPI 1609096742) is an individual physician assistant in Glendale, California, licensed in California (17543) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Arcadia.

NPPES Registry Identity

NPI1609096742
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MAY ROSE VILLASIN KURNIAWANCredential: PAC
Location Address225 W BROADWAY, SUITE 100Glendale, CA 91204-1331
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3203
Phone(888) 727-1771
Fax(818) 545-7606
Sole ProprietorYes
Enumeration DateApril 30, 2007
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1609096742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 17543
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
225 W BROADWAY, Glendale, CA 91204
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Other Names 1

Former Name (1)Miss May Rose Ablao Villasin

Secondary Practice Location 1

Location 1450 E Huntington DrArcadia, CA 91006-3748 · Phone (626) 462-1884 · Fax (626) 445-1542

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. May Rose Villasin Kurniawan Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91204 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.

MR. ALEXANDER BRIAN GUSTILO AMFT 136031
Marriage & Family Therapist
225 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 441-7800
DR. ONSY SAMY BASTA MD
Pediatrics
225 W BROADWAY, 100
GLENDALE, CA 91204
Los Angeles County (818) 545-7770
DR. RAMILA P. DOSHI M.D.
General Practice
225 W BROADWAY, SUITE 100
GLENDALE, CA 91204
Los Angeles County (818) 545-7117
PAULINA MARIE ACEVEDO PA-C
Physician Assistant
225 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 545-7117
HELEN MITROPOULOS MD
Internal Medicine
225 W BROADWAY, SUITE 100
GLENDALE, CA 91204
Los Angeles County (818) 545-7117
MISS CYNTHIA ISABEL JIMENEZ
Marriage & Family Therapist
225 W BROADWAY
GLENDALE, CA 91204
Los Angeles County (818) 333-8283

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 May Rose Kurniawan's NPI number?

The NPI number for May Rose Kurniawan is 1609096742. It was assigned to this individual provider in the NPPES registry on April 30, 2007. The provider is also known as Miss May Rose Ablao Villasin.

Where is May Rose Kurniawan located?

May Rose Kurniawan practices at 225 W Broadway Suite 100, Glendale, CA 91204. The listed phone number is (888) 727-1771.

What is May Rose Kurniawan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is May Rose Kurniawan enrolled in Medicare?

Yes. May Rose Kurniawan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for May Rose Kurniawan was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.