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DANIELA DELGADO
NPI 1891229613
Family Medicine in Los Angeles, CA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
100 UCLA MEDICAL PLAZA STE 250, LOS ANGELES, CA 90095(310) 794-9830(310) 794-9824 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2020, Apr 21, 2017 (2 updates tracked since 2017).

About Daniela Delgado NPPES

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

DANIELA DELGADO (NPI 1891229613) is an individual family medicine provider in Los Angeles, California, licensed in California (A157726) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and maintains a secondary practice location in Harbor City.

NPPES Registry Identity

NPI1891229613
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANIELA DELGADO
Location Address100 UCLA MEDICAL PLAZA STE 250Los Angeles, CA 90095-2076
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8771 · Fax (310) 301-8751
Phone(310) 794-9830
Fax(310) 794-9824
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1891229613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A157726
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 UCLA MEDICAL PLAZA STE 250, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 11403 Lomita Blvd, Suite 200Harbor City, CA 90710-2076 · Phone (310) 534-7600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

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

Daniela Delgado 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 ID9537581608
PECOS Enrollment IDI20230824002146
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 Daniela Delgado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duke University Affiliated Physicians, Inc.
2,210 mi
Family Medicine
1352 MEBANE OAKS RD
Mebane, NC 27302
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
NPI 1750536157 (919) 563-8400

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

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services56 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
81 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
56 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
21 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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.

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 Daniela Delgado's NPI number?

The NPI number for Daniela Delgado is 1891229613. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Daniela Delgado located?

Daniela Delgado practices at 100 Ucla Medical Plaza Ste 250, Los Angeles, CA 90095. The listed phone number is (310) 794-9830.

What is Daniela Delgado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniela Delgado enrolled in Medicare?

Yes. Daniela Delgado 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 Daniela Delgado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniela Delgado reassigns Medicare benefits to Duke University Affiliated Physicians, Inc. (Mebane, NC). 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 Daniela Delgado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniela Delgado accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Daniela Delgado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniela Delgado affiliated with any hospitals?

According to CMS data, Daniela Delgado is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Daniela Delgado was last updated on November 3, 2020. 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.