LIDA BAO N.P.
NPI 1629130372
Nurse Practitioner - Gerontology in Los Angeles, CA
About Lida Bao N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIDA BAO N.P. (NPI 1629130372) is an individual gerontology provider in Los Angeles, California, licensed in California (13681) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lida Bao N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90073
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 Lida Bao's NPI number?
The NPI number for Lida Bao is 1629130372. It was assigned to this individual provider in the NPPES registry on December 15, 2006.
Where is Lida Bao located?
Lida Bao practices at 11301 Wilshire Blvd Building 500, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Lida Bao's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Lida Bao enrolled in Medicare?
Yes. Lida Bao is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lida Bao was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Lida Bao, N.P. · NPI 1629130372
Gerontology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 15, 2006.
## Identity
- **NPI:** 1629130372 (Entity type: Individual)
- **Enumerated:** December 15, 2006
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 13681 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD, BUILDING 500, Los Angeles, CA 90073-1003
- **Phone:** (310) 478-3711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** August 20, 2007
- **Other identifiers:** Other 559675 (CA); Other 13681 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629130372) · Data from the CMS NPPES public registry.