ENRIQUE VITUG NP
NPI 1639902414
Nurse Practitioner - Family in West Covina, CA
About Enrique Vitug Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENRIQUE VITUG NP (NPI 1639902414) is an individual family provider in West Covina, California, licensed in California (95031814) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
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
Enrique Vitug Np 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 Reassignments
3Medicare enrollment records show Enrique Vitug reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Diamond Bar, CA 91765
- Reassigned Medicare billing, California enrollment
- 283 clinicians in this Medicare group
Pomona, CA 91766
- Reassigned Medicare billing, California enrollment
- 339 clinicians in this Medicare group
Seattle, WA 98115
- Reassigned Medicare billing, California enrollment
- 60 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 91790 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Enrique Vitug's NPI number?
The NPI number for Enrique Vitug is 1639902414. It was assigned to this individual provider in the NPPES registry on August 26, 2024.
Where is Enrique Vitug located?
Enrique Vitug practices at 640 S Sunset Ave Ste 202, West Covina, CA 91790. The listed phone number is (626) 480-8000.
What is Enrique Vitug's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Enrique Vitug enrolled in Medicare?
Yes. Enrique Vitug 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 organizations bill Medicare for Enrique Vitug's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Vitug reassigns Medicare benefits to 3 organizations: Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Healthcare Of California (Pomona, CA) and Sharwin Tafazoli Inc (Seattle, WA). 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 Enrique Vitug'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 Enrique Vitug was last updated on August 26, 2024. 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.
# Enrique Vitug, NP · NPI 1639902414
Family physician in West Covina, California. Individual provider, active in the CMS NPPES registry since August 26, 2024.
## Identity
- **NPI:** 1639902414 (Entity type: Individual)
- **Enumerated:** August 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95031814 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 640 S SUNSET AVE STE 202, West Covina, CA 91790-2808
- **Phone:** (626) 480-8000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Central Health Plan Of California, Inc. (NPI 1386714772, Diamond Bar, CA); Molina Healthcare Of California (NPI 1932214228, Pomona, CA); Sharwin Tafazoli Inc (NPI 1447806278, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1639902414) · Data from the CMS NPPES public registry.