BRYANT BALDORADO
NPI 1639717044
Nurse Practitioner - Acute Care in Los Angeles, CA
About Bryant Baldorado NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYANT BALDORADO (NPI 1639717044) is an individual acute care provider in Los Angeles, California, licensed in California (95013135) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Bryant Baldorado 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.
Medicare Billing Reassignment
Medicare enrollment records show Bryant Baldorado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 46 clinicians in this Medicare group
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 90095 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 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Bryant Baldorado's NPI number?
The NPI number for Bryant Baldorado is 1639717044. It was assigned to this individual provider in the NPPES registry on December 16, 2019.
Where is Bryant Baldorado located?
Bryant Baldorado practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9111.
What is Bryant Baldorado's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Bryant Baldorado enrolled in Medicare?
Yes. Bryant Baldorado 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 Bryant Baldorado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryant Baldorado reassigns Medicare benefits to The Regents Of The University Of California (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 Bryant Baldorado'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 Bryant Baldorado was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bryant Baldorado · NPI 1639717044
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since December 16, 2019.
## Identity
- **NPI:** 1639717044 (Entity type: Individual)
- **Enumerated:** December 16, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95013135 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-4672
- **Phone:** (310) 825-9111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Regents Of The University Of California (NPI 1912963232, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1639717044) · Data from the CMS NPPES public registry.