Desirae Mutuc, FNP-C - Medicare Nurse Practitioner in Sherman Oaks, CA

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Desirae Mutuc, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sherman Oaks, California. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hassan Chahine Md Inc, Av Physicians Group Inc, Epic Medical Group,inc, Doctors Managed Emergency Medical Group Inc., Derderyan Medical Group Inc and her current practice location is 4955 Van Nuys Blvd Ste 308, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at (818) 528-1044.

Desirae Mutuc is licensed to practice in California (license number 95003625) 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 1215393384.

Contact Information

Desirae Mutuc, FNP-C
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811
(818) 528-1044
(818) 528-1261

Map and Direction




Provider's Profile

Full NameDesirae Mutuc
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location4955 Van Nuys Blvd Ste 308, Sherman Oaks, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Desirae Mutuc graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1215393384
  • Provider Enumeration Date: 01/05/2016
  • Last Update Date: 11/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264721695
  • Enrollment ID: I20160525000435

Medical Identifiers

Medical identifiers for Desirae Mutuc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215393384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95003625 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Montclair Hospital Medical CenterMontclair, CAHospital
Chino Valley Medical CenterChino, CAHospital
Los Angeles Community HospitalLos angeles, CAHospital
San Dimas Community HospitalSan dimas, CAHospital
West Anaheim Medical CenterAnaheim, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hassan Chahine Md Inc05476912976
Av Physicians Group Inc28608002403
Epic Medical Group,inc438588395844
Doctors Managed Emergency Medical Group Inc.81239313676
Derderyan Medical Group Inc83253473968

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. Desirae Mutuc allows following entities to bill medicare on her behalf.
Entity NameDoctors Managed Emergency Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922241843
PECOS PAC ID: 8123931367
Enrollment ID: O20031112000527
Entity NameNew Ananda Medical And Urgent Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417097452
PECOS PAC ID: 4183715238
Enrollment ID: O20070803000596
Entity NameEpic Cardiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972836252
PECOS PAC ID: 5799811394
Enrollment ID: O20100408000185
Entity NameEpic Medical Group,inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295178689
PECOS PAC ID: 4385883958
Enrollment ID: O20130612000470
Entity NameHuntington Specialist & Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912378324
PECOS PAC ID: 8820399264
Enrollment ID: O20151209000956
Entity NameDerderyan Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457712309
PECOS PAC ID: 8325347396
Enrollment ID: O20160425002354
Entity NameOliver M Solomon Do Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609240126
PECOS PAC ID: 1951692219
Enrollment ID: O20160617000331
Entity NameHassan Chahine Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245851815
PECOS PAC ID: 0547691297
Enrollment ID: O20200512003160
Entity NameAv Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366039612
PECOS PAC ID: 2860800240
Enrollment ID: O20210423001395

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. Desirae Mutuc 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 AddressPractice Location Address
Desirae Mutuc, FNP-C
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811

Ph: (818) 528-1044		Desirae Mutuc, FNP-C
4955 Van Nuys Blvd Ste 308,
Sherman Oaks, CA 91403-1811

Ph: (818) 528-1044

Reviews and Comments


Nurse Practitioner Nurses in Sherman Oaks, CA

Somaly Sith, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4849 Van Nuys Blvd # 202, Sherman Oaks, CA 91403
Phone: 404-213-0453    
Arianna Tang, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14322 Dickens St Unit 8, Sherman Oaks, CA 91423
Phone: 760-995-6972    
Mrs. Allison W Dolphin, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14735 Ventura Blvd, Sherman Oaks, CA 91403
Phone: 818-788-0208    
Jennifer Quandt Nunez, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15477 Ventura Blvd, Sherman Oaks, CA 91403
Phone: 818-907-0322    
Racquelle Ranan Tugade Thieling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411
Phone: 818-900-6480    Fax: 818-900-6488
Laura Marie Cortez, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5651 Sepulveda Blvd Ste 201, Sherman Oaks, CA 91411
Phone: 818-788-2400    
Ardene J Cudiamat, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4955 Van Nuys Blvd, Suite 411, Sherman Oaks, CA 91403
Phone: 818-784-7903    Fax: 818-784-7026

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.