MRS. PAULINA BIANCA SAGARAL PILOTOS
NPI 1710658083
Nurse Practitioner - Family in Highland Park, CA

NPI Status: Active since September 25, 2021

Contact Information

6000 N FIGUEROA ST
HIGHLAND PARK, CA
ZIP 90042
Phone: (866) 616-9344

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  • Individual
  • Female
  • Years of Experience 5
  • Nurse Practitioner
  • Family
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About PAULINA BIANCA PILOTOS

Paulina Bianca Pilotos is a provider established in Highland Park, California and her medical specialization is Nurse Practitioner with a focus in family with more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1710658083 assigned on September 2021. The practitioner's primary taxonomy code is 363LF0000X with license number 95017549 (CA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1710658083
Provider Name
MRS. PAULINA BIANCA SAGARAL PILOTOS
Gender
Female
Entity Type
Individual
Location Address
6000 N FIGUEROA ST HIGHLAND PARK, CA 90042
Location Phone
(866) 616-9344
Mailing Address
620 DEL MONTE ST PASADENA, CA 91103
Mailing Phone
(626) 318-5182
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
09-25-2021
Last Update Date
09-25-2021
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A nurse practitioner (NP) like Paulina Bianca Pilotos is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Paulina Bianca Pilotos is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.87 for a new patient copayment and $28.72 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95017549
License State
CA

PECOS Enrollment and Medicare Participation Status

Paulina Bianca Pilotos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6507250545

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220308001742

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 90042 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $99.5
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $24.87
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710658083
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272012516016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 2 + 5 + 1 + 6 + 0 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1710658083 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538152350 FRANCISCO GARCIA-GUZMAN
Individual
Dentist6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1902899727 YANINA QUEEN D.O
Individual
Pediatrics6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1528051364 JESSICA WONG
Individual
Internal Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5221
1114910957 CYNTHIA HUGHES
Individual
Registered Nurse (Pediatrics)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1205829975 MARYA MIYAMOTO M.D
Individual
Pediatrics6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1982637880DR. AANAL JAY DESAI M.D.
Individual
Pediatrics6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5221
1811902216 BLANCA MERAZ F.N.P.
Individual
Nurse Practitioner (Family)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 543-2531
1851308282 JOHN DIEP M.D.
Individual
Family Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 543-2531
1841343563DR. GLENN MEJIA M.D.
Individual
Internal Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5221
1407028384 FARIBA LEVIHIM NP
Individual
Nurse Practitioner (Women's Health)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1558537159 OLIVIA DELLINGER PA-C
Individual
Physician Assistant6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1629234745 THAN THAN NWE MA
Individual
Internal Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1356598015 LINDA THU LY OD
Individual
Optometrist6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1609200518 MARIANNE CADIZ NP
Individual
Nurse Practitioner (Pediatrics)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1265425094 TUONG TRINH M.D
Individual
Family Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1497029391 MIREYA SAMANIEGO M.D.
Individual
Internal Medicine6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1134632565DR. PRISCILLA KAREN ELIZONDO DDS
Individual
Dentist6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1073028502 SHAINA GONZALES LCSW
Individual
Social Worker (Clinical)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5291
1568945368 SAGHI NASSROUIE
Individual
Nurse Practitioner (Family)6000 N FIGUEROA ST
LOS ANGELES, CA 90042
(323) 254-5221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710658083, enumerated in the NPI registry as an "individual" on September 25, 2021

The provider is located at 6000 N Figueroa St Highland Park, Ca 90042 and the phone number is (866) 616-9344

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider has more than 5 years of experience.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on September 25, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.