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ISMAEL TABLIGAN GESTOPA NP
NPI 1871266890
Internal Medicine in Los Angeles, CA

Active since July 27, 2021PECOS EnrolledAccepts Medicare Assignment
4425 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 908-4200 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2025, Jul 27, 2021 (2 updates tracked since 2021).

About Ismael Tabligan Gestopa Np NPPES

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

ISMAEL TABLIGAN GESTOPA NP (NPI 1871266890) is an individual internal medicine provider in Los Angeles, California, licensed in California (95017403) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871266890
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameISMAEL TABLIGAN GESTOPACredential: NP
Location Address4425 S CENTRAL AVELos Angeles, CA 90011-3629
Mailing Address4425 S Central AveLos Angeles, CA 90011-3629 · (323) 908-4200
Phone(323) 908-4200
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2021
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1871266890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 95017403
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4425 S CENTRAL AVE, Los Angeles, CA 90011
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ismael Tabligan Gestopa 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 ID8224436274
PECOS Enrollment IDI20211006001305
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90011 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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.

LYANNE DAISY DUARTE FNP-BC
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 696-7946
RUBEN GARCIA DE ALBA PA-C
Physician Assistant
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
RACHEL OCAMPO
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
GILLIAN BIELER LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
ERIKA B YANEZ FNP-C
Nurse Practitioner (Family)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MINCI SEKOU MOODY DR.
Nurse Practitioner (Psychiatric/Mental Health)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
MR. JAIME BOTERO LCSW
Social Worker (Clinical)
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4200
COLLEEN CROSBY
Case Manager/Care Coordinator
4425 S CENTRAL AVE
LOS ANGELES, CA 90011
Los Angeles County (323) 908-4290

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 Ismael Gestopa's NPI number?

The NPI number for Ismael Gestopa is 1871266890. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Ismael Gestopa located?

Ismael Gestopa practices at 4425 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 908-4200.

What is Ismael Gestopa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ismael Gestopa enrolled in Medicare?

Yes. Ismael Gestopa 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.

When was this NPI record last updated?

The NPPES record for Ismael Gestopa was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.