DAISY BANUELOS
NPI 1932883030
Nurse Practitioner in Los Angeles, CA

Q: What is Daisy Banuelos's NPI number?

The NPI number for Daisy Banuelos is 1932883030. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Q: What is Daisy Banuelos's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Daisy Banuelos was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment

1605 EASTLAKE AVE, LOS ANGELES, CA 90033(323) 226-8611 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2023, Jun 12, 2023 (2 updates tracked since 2023).

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About Daisy Banuelos NPPES

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

DAISY BANUELOS (NPI 1932883030) is an individual nurse practitioner in Los Angeles, California, licensed in California (NP95025288) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1932883030

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDAISY BANUELOS

Location Address1605 EASTLAKE AVELos Angeles, CA 90033-1009

Mailing Address2648 E Workman Ave # 3001-304West Covina, CA 91791-1604

Phone(323) 226-8611

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJune 12, 2023

Last NPPES UpdateJune 22, 20232 updates tracked since enumeration

NPPES CertifiedJune 22, 2023

✔ NPI 1932883030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP95025288

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1605 EASTLAKE AVE, Los Angeles, CA 90033

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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

Daisy Banuelos 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 ID3971951765

PECOS Enrollment IDI20231205001670

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 90033 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.

DONNA PEREZ MSW

Social Worker (Clinical)