SUSANA ORTEGA RIOS NP
NPI 1720507437
Nurse Practitioner - Family in Tustin, CA

Active since September 13, 2017PECOS EnrolledAccepts Medicare Assignment
1 HOPE DR, TUSTIN, CA 92782(714) 247-0300(714) 259-1598 Get Directions Write a Review

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

Record update history: Jun 18, 2021, Feb 9, 2021, Feb 28, 2020 and 2 more (5 updates tracked since 2017).

About Susana Ortega Rios Np NPPES

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

SUSANA ORTEGA RIOS NP (NPI 1720507437) is an individual family provider in Tustin, California, licensed in California (95007375) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720507437
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSANA ORTEGA RIOSCredential: NP
Location Address1 HOPE DRTustin, CA 92782-0221
Mailing Address1 Hope DrTustin, CA 92782-0221 · (714) 247-0300 · Fax (714) 259-1598
Fax(714) 259-1598
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 13, 2017
Last NPPES UpdateJune 18, 20215 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1720507437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95007375
1 HOPE DR, Tustin, CA 92782

Secondary Practice Locations 3

Location 11100B N Tustin Ave # ASanta Ana, CA 92705-3505 · Phone (714) 247-0300 · Fax (714) 259-1598
Location 2947 S Anaheim Blvd Ste 260Anaheim, CA 92805-5591 · Phone (714) 247-0300 · Fax (714) 259-1598
Location 314642 Newport Ave Ste 200Tustin, CA 92780-6058 · Phone (714) 247-0300 · Fax (714) 259-1598

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

Susana Ortega Rios 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.

PECOS PAC ID8729417670
PECOS Enrollment IDI20200527001771
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 Susana Rios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
Family Medicine
95 3RD ST STE 293
San Francisco, CA 94103
  • Reassigned Medicare billing, California and Texas enrollments
  • Medicare enrollment name: Pair Team Medical Group PA
  • 28 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 92782 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.

Registered Nurse
1 HOPE DR
TUSTIN, CA 92782
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Social Worker (Clinical)
1 HOPE DR
TUSTIN, CA 92782
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Dental Hygienist
1 HOPE DR
TUSTIN, CA 92782
Nurse Practitioner (Family)
1 HOPE DR
TUSTIN, CA 92782
Family Medicine
1 HOPE DR
TUSTIN, CA 92782
Family Medicine
1 HOPE DR
TUSTIN, CA 92782

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 Susana Rios's NPI number?

The NPI number for Susana Rios is 1720507437. It was assigned to this individual provider in the NPPES registry on September 13, 2017.

Where is Susana Rios located?

Susana Rios practices at 1 Hope Dr, Tustin, CA 92782. The listed phone number is (714) 247-0300.

What is Susana Rios's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susana Rios enrolled in Medicare?

Yes. Susana Rios 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 Susana Rios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susana Rios reassigns Medicare benefits to 2 organizations: Pair Team Medical Group Of California PC (San Francisco, CA) and Pair Team Medical Group, P.A. (San Francisco, 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 Susana Rios'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 Susana Rios was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.