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ALEXANDER LUIS INTERIANO MSN, APRN, NP
NPI 1609407402
Nurse Practitioner in Los Angeles, CA

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment
3727 W 6TH ST STE 200, LOS ANGELES, CA 90020(213) 235-2500 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 14, 2020, Jan 30, 2020 (2 updates tracked since 2020).

About Alexander Luis Interiano Msn, Aprn, Np NPPES

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

ALEXANDER LUIS INTERIANO MSN, APRN, NP (NPI 1609407402) is an individual nurse practitioner in Los Angeles, California, licensed in California (95013791) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609407402
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEXANDER LUIS INTERIANOCredential: MSN, APRN, NP
Location Address3727 W 6TH ST STE 200Los Angeles, CA 90020-5108
Mailing Address3630 Marathon St Apt 301Los Angeles, CA 90026-2868
Phone(213) 235-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
Last NPPES UpdateFebruary 14, 20202 updates tracked since enumeration
✔ NPI 1609407402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95013791
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3727 W 6TH ST STE 200, Los Angeles, CA 90020
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Secondary Practice Location 1

Location 13630 Marathon St Apt 301Los Angeles, CA 90026-2868 · Phone (626) 940-8691

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

Alexander Luis Interiano Msn, Aprn, Np 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 ID1557790888
PECOS Enrollment IDI20200407002452
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 Alexander Interiano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gracelight Community Health
1.5 mi
Federally Qualified Health Center (FQHC)
150 N RENO ST
Los Angeles, CA 90026
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1013083666 (213) 380-7298

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 90020 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.

DR. IDA TUWATANANURAK D.O.
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
ELENI ELIZA UZUNYAN MD
Student in an Organized Health Care Education/Training Program
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
KOREAN HEALTH EDUCATION INFORMATION AND RESEARCH CENTER
Clinic/Center (Primary Care)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MRS. ETHEL IHEDINANWA EMENOGU NP
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 427-4000
DR. KEVIN RIUTZEL MS, DO
Family Medicine
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
MS. YESENIA CHARLENE GONZALEZ PA-C
Physician Assistant
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
JESSICA SONG
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2500
KATE KYUNGEUN HAN NP
Nurse Practitioner (Family)
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020
Los Angeles County (213) 235-2801

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 Alexander Interiano's NPI number?

The NPI number for Alexander Interiano is 1609407402. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Alexander Interiano located?

Alexander Interiano practices at 3727 W 6th St Ste 200, Los Angeles, CA 90020. The listed phone number is (213) 235-2500.

What is Alexander Interiano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alexander Interiano enrolled in Medicare?

Yes. Alexander Interiano 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 Alexander Interiano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Interiano reassigns Medicare benefits to Gracelight Community Health (Los Angeles, 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 Alexander Interiano'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 Alexander Interiano was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.