CHRISTOPHER C. DISTASIO MD
NPI 1639240518
Psychiatry & Neurology - Neurology in Harbor City, CA

Q: What is Christopher Distasio's NPI number?

The NPI number for Christopher Distasio is 1639240518. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Christopher Distasio's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Christopher C. Distasio Md NPPES

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

CHRISTOPHER C. DISTASIO MD (NPI 1639240518) is an individual neurology provider in Harbor City, California, licensed in California (A67864) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1997).

NPPES Registry Identity

NPI1639240518

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameCHRISTOPHER C. DISTASIOCredential: MD

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111

Phone(310) 325-5111

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1997

Enumeration DateNovember 13, 2006

Last NPPES UpdateNovember 18, 2021

✔ NPI 1639240518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in CA · A67864

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

25825 VERMONT AVE, Harbor City, CA 90710

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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 and accepts Medicare assignment

Christopher C. Distasio Md 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 ID9234118100

PECOS Enrollment IDI20040714001546

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 Christopher Distasio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

25825 VERMONT AVE
Harbor City, CA 90710

Reassigned Medicare billing, California enrollment
Also billed through NPI 1396287082 (California)
13,921 clinicians in this Medicare group

NPI 1598797011 (310) 325-5111

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 90710 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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 20

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

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