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MARY DIVINE GRACE DINSAY PAINAGA FNP
NPI 1619528403
Nurse Practitioner - Family in Downey, CA

Active since September 24, 2019PECOS Enrolled
12415 RIVES AVE, DOWNEY, CA 90242(626) 586-5113 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mary Divine Grace Dinsay Painaga Fnp NPPES

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

MARY DIVINE GRACE DINSAY PAINAGA FNP (NPI 1619528403) is an individual family provider in Downey, California, licensed in California (95012889) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619528403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY DIVINE GRACE DINSAY PAINAGACredential: FNP
Location Address12415 RIVES AVEDowney, CA 90242-3454
Mailing Address12415 Rives AveDowney, CA 90242-3454 · (626) 586-5113
Phone(626) 586-5113
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
✔ NPI 1619528403 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 · 95012889
12415 RIVES AVE, Downey, CA 90242
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Divine Grace Dinsay Painaga Fnp 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 Reassignments

2

Medicare enrollment records show Mary Divine Grace Painaga reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Via Care Community Health Center
6.6 mi
Federally Qualified Health Center (FQHC)
607 S ATLANTIC BLVD
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group
NPI 1770034530 (323) 268-9191
Eastside Family Medical Associates, Inc.
7.1 mi
Multi-Specialty
321 S MEDNIK AVE
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1568656791 (323) 261-4706

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 90242 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.

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 Mary Divine Grace Painaga's NPI number?

The NPI number for Mary Divine Grace Painaga is 1619528403. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Mary Divine Grace Painaga located?

Mary Divine Grace Painaga practices at 12415 Rives Ave, Downey, CA 90242. The listed phone number is (626) 586-5113.

What is Mary Divine Grace Painaga's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Divine Grace Painaga enrolled in Medicare?

Yes. Mary Divine Grace Painaga is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Divine Grace Painaga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Divine Grace Painaga reassigns Medicare benefits to 2 organizations: Via Care Community Health Center (Los Angeles, CA) and Eastside Family Medical Associates, Inc. (Los Angeles, CA). Each 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 Mary Divine Grace Painaga'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 Mary Divine Grace Painaga was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.