BEVERLY BALAMAD MOSQUEDA NP
NPI 1700201779
Nurse Practitioner - Family in Rancho Cucamonga, CA
About Beverly Balamad Mosqueda Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BEVERLY BALAMAD MOSQUEDA NP (NPI 1700201779) is an individual family provider in Rancho Cucamonga, California, licensed in California (95000445) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Beverly Balamad Mosqueda 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 Beverly Mosqueda reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brea, CA 92821
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Adobe Ph Ca Medical Group PC
- 18 clinicians in this Medicare group
Los Angeles, CA 90041
- Reassigned Medicare billing, California enrollment
- 24 clinicians in this Medicare group
Encino, CA 91316
- Reassigned Medicare billing, California enrollment
- 26 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 91730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Beverly Mosqueda's NPI number?
The NPI number for Beverly Mosqueda is 1700201779. It was assigned to this individual provider in the NPPES registry on February 26, 2014. The provider is also known as Beverly Balamad Tsun Np.
Where is Beverly Mosqueda located?
Beverly Mosqueda practices at 9471 Jack Rabbit Dr 104, Rancho Cucamonga, CA 91730. The listed phone number is (626) 384-1585.
What is Beverly Mosqueda's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Beverly Mosqueda enrolled in Medicare?
Yes. Beverly Mosqueda 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 Beverly Mosqueda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beverly Mosqueda reassigns Medicare benefits to 3 organizations: Adobe Ph Ca Medical Group, P.C. (Brea, CA), Legacy Marketing Worldwide Inc. (Los Angeles, CA) and Infinity Mobile Medical Group (Encino, 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 Beverly Mosqueda'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 Beverly Mosqueda was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Beverly Balamad Mosqueda, NP · NPI 1700201779
Family physician in Rancho Cucamonga, California. Individual provider, active in the CMS NPPES registry since February 26, 2014.
## Identity
- **NPI:** 1700201779 (Entity type: Individual)
- **Enumerated:** February 26, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95000445 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9471 JACK RABBIT DR, 104, Rancho Cucamonga, CA 91730-2776
- **Phone:** (626) 384-1585
## 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): Adobe Ph Ca Medical Group, P.C. (NPI 1427889195, Brea, CA); Legacy Marketing Worldwide Inc. (NPI 1336505197, Los Angeles, CA); Infinity Mobile Medical Group (NPI 1912727835, Encino, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700201779) · Data from the CMS NPPES public registry.