1. Home
  2. Directory
  3. California
  4. Long Beach
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DRISTI ANGDEMBEY MD
NPI 1699418590
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
450 E SPRING ST STE 1, LONG BEACH, CA 90806(562) 933-0050(562) 933-0079 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dristi Angdembey Md NPPES

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

DRISTI ANGDEMBEY MD (NPI 1699418590) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699418590
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDRISTI ANGDEMBEYCredential: MD
Location Address450 E SPRING ST STE 1Long Beach, CA 90806-1625
Mailing Address450 E Spring St Ste 1Long Beach, CA 90806-1625 · (562) 933-0050 · Fax (562) 933-0079
Phone(562) 933-0050
Fax(562) 933-0079
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1699418590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 E SPRING ST STE 1, Long Beach, CA 90806
Open in Google Maps ↗

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

Dristi Angdembey Md 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 ID8628436110
PECOS Enrollment IDI20250926002276
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 Reassignment

Medicare enrollment records show Dristi Angdembey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
6.4 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. JOANN Y CHANG M.D.
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
ALEXANDER GUEVARA
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
DR. ROCHELLE LACAZE
Family Medicine
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
KATHLEEN D. TOR MD
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
TONY HSU M.D.
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
EMMA ASHER
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050
VICTORIA ANDREA SOLOMON MD
Student in an Organized Health Care Education/Training Program
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0500
PAMELA MARIA WADE
Nurse Practitioner
450 E SPRING ST STE 1
LONG BEACH, CA 90806
Los Angeles County (562) 933-0050

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 Dristi Angdembey's NPI number?

The NPI number for Dristi Angdembey is 1699418590. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Dristi Angdembey located?

Dristi Angdembey practices at 450 E Spring St Ste 1, Long Beach, CA 90806. The listed phone number is (562) 933-0050.

What is Dristi Angdembey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dristi Angdembey enrolled in Medicare?

Yes. Dristi Angdembey 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 Dristi Angdembey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dristi Angdembey reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Dristi Angdembey'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 Dristi Angdembey was last updated on April 18, 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.