DR. CAROLINE MARIE LICUD AVENTURA M.D.
NPI 1962623538
Family Medicine in West Covina, CA

Q: What is Caroline Aventura's NPI number?

The NPI number for Caroline Aventura is 1962623538. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Q: What is Caroline Aventura's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Aventura was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 01, 2007PECOS EnrolledAccepts Medicare Assignment

1300 S SUNSET AVE, WEST COVINA, CA 91790(626) 338-9915 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Caroline Marie Licud Aventura M.d. NPPES

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

DR. CAROLINE MARIE LICUD AVENTURA M.D. (NPI 1962623538) is an individual family medicine provider in West Covina, California, licensed in California (A102553) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1962623538

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CAROLINE MARIE LICUD AVENTURACredential: M.D.

Location Address1300 S SUNSET AVEWest Covina, CA 91790-3342

Mailing Address2040 Camfield AveCommerce, CA 90040-1502

Phone(626) 338-9915

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateMay 1, 2007

Last NPPES UpdateJuly 24, 2014

✔ NPI 1962623538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A102553✔ Licensed in MI · 4301084039

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.

1300 S SUNSET AVE, West Covina, CA 91790

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Other Identifiers 4

Medicare UPINGV237ZCA

OtherZZZ20041ZCA · Site Ptan

OtherW14158CA · Site Ptan

Medicare UPINGV237YCA

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

Dr. Caroline Marie Licud Aventura M.d. 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 ID6406009240

PECOS Enrollment IDI20170124002558

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

Community Health Systems, Inc.

30 mi

Federally Qualified Health Center (FQHC)

9380 MAGNOLIA AVE
Riverside, CA 92503

Reassigned Medicare billing, California enrollment
86 clinicians in this Medicare group

NPI 1548538911 (951) 571-2300

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 91790 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers15 claims15 services$191.15 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EDITH HERNANDEZ

Case Manager/Care Coordinator