Latora Subani, is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Apple Valley, California. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wound Healing Care Specialists Inc and her current practice location is
16179 Siskiyou Rd, Apple Valley, California. You can reach out to her office (for appointments etc.) via phone at
(661) 267-6876.
Latora Subani is licensed to practice in California (license number 95005753) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033649413.
Physician's Profile
| Full Name | Latora Subani |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 16179 Siskiyou Rd, Apple Valley, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Latora Subani graduated from medical school in 2016
NPI Data:
- NPI Number: 1033649413
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 01/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486902590
- Enrollment ID: I20191108001717
Medical Identifiers
Medical identifiers for Latora Subani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033649413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 95005753 (California) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 95005753 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Wound Healing Care Specialists Inc | 5698019602 | 23 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latora Subani allows following entities to bill medicare on her behalf.
| Entity Name | Ridgecrest Regional Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447253125 PECOS PAC ID: 9739099896 Enrollment ID: O20060929000159 |
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| Entity Name | Wound Healing Care Specialists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306317961 PECOS PAC ID: 5698019602 Enrollment ID: O20181203001136 |
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| Entity Name | Nexus Wound Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225875313 PECOS PAC ID: 2365974789 Enrollment ID: O20241010000606 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latora Subani is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Latora Subani, 3 Rue Monet, Foothill Ranch, CA 92610-2482 Ph: () - | Latora Subani, 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 Ph: (661) 267-6876 |
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