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DR. VANESSA T BOMEDIANO MD
NPI 1679131767
Family Medicine in Los Angeles, CA

Active since June 03, 2019PECOS Enrolled
1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 747-5542 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2022, Apr 14, 2021, Jun 3, 2019 (3 updates tracked since 2019).

About Dr. Vanessa T Bomediano Md NPPES

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

DR. VANESSA T BOMEDIANO MD (NPI 1679131767) is an individual family medicine provider in Los Angeles, California, licensed in California (A179139) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1679131767
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. VANESSA T BOMEDIANOCredential: MD
Location Address1530 S OLIVE STLos Angeles, CA 90015-3023
Mailing Address18223 Cairo AveCarson, CA 90746-1729 · (310) 850-4093 · Fax (310) 323-3930
Phone(213) 747-5542
Sole ProprietorNo
Enumeration DateJune 3, 2019
Last NPPES UpdateAugust 3, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1679131767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A179139
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1530 S OLIVE ST, Los Angeles, CA 90015
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Secondary Practice Location 1

Location 11401 S Grand Ave Ste 703Los Angeles, CA 90015-3010 · Phone (310) 850-4093

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vanessa T Bomediano Md 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 90015 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.

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.

MS. ANA MARISELA MANCILLA
Specialist/Technologist (Speech-Language Assistant)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ROBERT BRODHEAD
Rehabilitation Practitioner
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
CATHERINE LEE JACOBS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
XOCHITL L JACKSON MD
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
TERRY A JORDAN
Social Worker (Clinical)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
DARA NUNN CPNP-AC, FNP-BC
Nurse Practitioner (Pediatrics)
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 747-5542
SANDY SHIEN
Pediatrics
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037
ELIZABETH DIANE JENKINS
Advanced Practice Midwife
1530 S OLIVE ST
LOS ANGELES, CA 90015
Los Angeles County (213) 746-1037

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 Vanessa Bomediano's NPI number?

The NPI number for Vanessa Bomediano is 1679131767. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Vanessa Bomediano located?

Vanessa Bomediano practices at 1530 S Olive St, Los Angeles, CA 90015. The listed phone number is (213) 747-5542.

What is Vanessa Bomediano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vanessa Bomediano enrolled in Medicare?

Yes. Vanessa Bomediano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vanessa Bomediano was last updated on August 3, 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.