LEONORA BEREDO
NPI 1992348239
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Leonora Beredo's NPI number?

The NPI number for Leonora Beredo is 1992348239. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Q: What is Leonora Beredo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leonora Beredo was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment

522 S SAN PEDRO ST, LOS ANGELES, CA 90013(562) 867-7999 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 3, 2025, Oct 18, 2019 (2 updates tracked since 2019).

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About Leonora Beredo NPPES

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

LEONORA BEREDO (NPI 1992348239) is an individual family provider in Los Angeles, California, licensed in California (95013642) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1992348239

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLEONORA BEREDO

Location Address522 S SAN PEDRO STLos Angeles, CA 90013-2102

Mailing Address5650 Jillson StCommerce, CA 90040-1482

Phone(562) 867-7999

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 18, 2019

Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2025

✔ NPI 1992348239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95013642✔ Licensed in FL · 11004541

522 S SAN PEDRO ST, Los Angeles, CA 90013

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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

Leonora Beredo 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 ID8820423940

PECOS Enrollment IDI20250107002040

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 90013 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.

LISA ELAINE BATCHELOR FNP, C, MSN

Nurse Practitioner (Family)