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KRISTOPHER LIBAN
NPI 1942769054
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 18, 2019PECOS Enrolled
1200 N STATE ST, LOS ANGELES, CA 90089(323) 409-1000 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2023, Mar 18, 2019 (2 updates tracked since 2019).

About Kristopher Liban NPPES

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

KRISTOPHER LIBAN (NPI 1942769054) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942769054
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKRISTOPHER LIBAN
Location Address1200 N STATE STLos Angeles, CA 90089-1001
Mailing Address1200 N State StLos Angeles, CA 90089-1001
Phone(323) 409-1000
Sole ProprietorYes
Enumeration DateMarch 18, 2019
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1942769054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristopher Liban is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kristopher Liban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

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

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.

DR. EISHA ANNE CHRISTIAN MD
Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7421
LAURA MARIA VELEZ TURIZO MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7053
DR. CASSIDY BENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (626) 825-4601
ARGEREY STAPAKIS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
ANH-THO ANTOINETTE THI NGUYEN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (714) 309-6525
ANDIE KWON MD
Dermatology
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-3360
JESSICA HONG
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7556
JOOYEON KIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 341-3128

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 Kristopher Liban's NPI number?

The NPI number for Kristopher Liban is 1942769054. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Kristopher Liban located?

Kristopher Liban practices at 1200 N State St, Los Angeles, CA 90089. The listed phone number is (323) 409-1000.

What is Kristopher Liban's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristopher Liban enrolled in Medicare?

Yes. Kristopher Liban is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristopher Liban's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Liban reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). 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 Kristopher Liban'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 Kristopher Liban was last updated on September 26, 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.