1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Pediatrics
  6. NPI Profile

NOLASCO CRISTOBAL M.D
NPI 1609818152
Pediatrics in Los Angeles, CA

Active since June 11, 2006PECOS Enrolled
1414 S GRAND AVE STE 380, LOS ANGELES, CA 90015(213) 743-9000(213) 743-9001 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nolasco Cristobal M.d NPPES

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

NOLASCO CRISTOBAL M.D (NPI 1609818152) is an individual pediatrics provider in Los Angeles, California, licensed in California (A48577) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609818152
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNOLASCO CRISTOBALCredential: M.D
Location Address1414 S GRAND AVE STE 380Los Angeles, CA 90015-3072
Mailing Address2550 West Main St, Suite 301Alhambra, CA 91801 · (626) 457-6900 · Fax (626) 457-5209
Phone(213) 743-9000
Fax(213) 743-9001
Sole ProprietorYes
Enumeration DateJune 11, 2006
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1609818152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A48577
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1414 S GRAND AVE STE 380, Los Angeles, CA 90015
Open in Google Maps ↗

Other Identifiers 1

Medicaid00A485770CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nolasco Cristobal M.d 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.

Medicare Billing Reassignment

Medicare enrollment records show Nolasco Cristobal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Community Clinic
Same address
Federally Qualified Health Center (FQHC)
1414 S GRAND AVE STE 456
Los Angeles, CA 90015
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1063927564 (213) 745-6047

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 90015 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 11

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

NATALIE CHANEL HOUSER PA-C
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARTHA MATEO LCSW
Social Worker (Clinical)
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
DR. KAMI ADIBI M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (310) 717-5777
MS. ELSA MARIA HARTWICK M.D.
Internal Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
ELIZABETH LOPEZ ESCOBAR
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
ELIZABETH SOOBIN LEE
Physician Assistant
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 745-6047
DR. RENE JOUVANNI TRABANINO M.D.
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
DR. GAILA MAUREEN KENNEALLY DO
Family Medicine
1414 S GRAND AVE STE 380
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000

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 Nolasco Cristobal's NPI number?

The NPI number for Nolasco Cristobal is 1609818152. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Nolasco Cristobal located?

Nolasco Cristobal practices at 1414 S Grand Ave Ste 380, Los Angeles, CA 90015. The listed phone number is (213) 743-9000.

What is Nolasco Cristobal's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nolasco Cristobal enrolled in Medicare?

Yes. Nolasco Cristobal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nolasco Cristobal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nolasco Cristobal reassigns Medicare benefits to Northeast Community Clinic (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 Nolasco Cristobal'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 Nolasco Cristobal was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.