KEVIN SAN LUIS DNP - NPI 1639912488 - Nurse Practitioner in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Kevin San Luis Dnp NPPES

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

KEVIN SAN LUIS DNP (NPI 1639912488) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (2024026806) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639912488

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKEVIN SAN LUISCredential: DNP

Location Address11900 AVALON BLVD STE 100Los Angeles, CA 90061-2867

Mailing Address11900 Avalon Blvd Ste 100Los Angeles, CA 90061-2867

Phone(888) 783-1883

Sole ProprietorYes

Enumeration DateJune 18, 2024

Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2025

✔ NPI 1639912488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 2024026806

11900 AVALON BLVD STE 100, Los Angeles, CA 90061

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin San Luis Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90061 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.