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WANDA ARIZMENDI-HOLGUIN ANP
NPI 1689067290
Nurse Practitioner in Covina, CA

Active since March 07, 2015PECOS EnrolledAccepts Medicare Assignment
1140 N STEPHORA AVE, COVINA, CA 91724(909) 855-0222 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wanda Arizmendi-holguin Anp NPPES

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

WANDA ARIZMENDI-HOLGUIN ANP (NPI 1689067290) is an individual nurse practitioner in Covina, California, licensed in California (NP95002016) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1689067290
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameWANDA ARIZMENDI-HOLGUINCredential: ANP
Location Address1140 N STEPHORA AVECovina, CA 91724-1628
Mailing Address1011 Baldwin Park BlvdBaldwin Park, CA 91706-5806 · (626) 851-6034
Phone(909) 855-0222
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 7, 2015
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1689067290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · NP95002016
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1140 N STEPHORA AVE, Covina, CA 91724
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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

Wanda Arizmendi-holguin Anp 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 ID7517274921
PECOS Enrollment IDI20150917001727
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 Reassignments

2

Medicare enrollment records show Wanda Arizmendi-holguin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Valley Community Health Center, Inc.
2.6 mi
Federally Qualified Health Center (FQHC)
276 WEST COLLEGE STREET
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group
NPI 1285046847 (626) 919-4333
Southern California Permanente Medical Group
8.0 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

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 91724 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.

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 Wanda Arizmendi-holguin's NPI number?

The NPI number for Wanda Arizmendi-holguin is 1689067290. It was assigned to this individual provider in the NPPES registry on March 7, 2015.

Where is Wanda Arizmendi-holguin located?

Wanda Arizmendi-holguin practices at 1140 N Stephora Ave, Covina, CA 91724. The listed phone number is (909) 855-0222.

What is Wanda Arizmendi-holguin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Wanda Arizmendi-holguin enrolled in Medicare?

Yes. Wanda Arizmendi-holguin 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 Wanda Arizmendi-holguin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wanda Arizmendi-holguin reassigns Medicare benefits to 2 organizations: East Valley Community Health Center, Inc. (Covina, CA) and Southern California Permanente Medical Group (Baldwin Park, CA). 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 Wanda Arizmendi-holguin'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 Wanda Arizmendi-holguin was last updated on December 1, 2021. 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.