Mr Klar Fulgentes Pasilaban, FNP - Medicare Nurse Practitioner in Simi Valley, CA

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Mr Klar Fulgentes Pasilaban, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Simi Valley, California. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Adventist Health Physicians Network and his current practice location is 1822 Springgate Ln Apt G, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 256-7828.

Mr Klar Fulgentes Pasilaban is licensed to practice in California (license number 95004610) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104371806.

Contact Information

Mr Klar Fulgentes Pasilaban, FNP
1822 Springgate Ln Apt G,
Simi Valley, CA 93065-2982
(805) 256-7828
Not Available

Map and Direction




Provider's Profile

Full NameMr Klar Fulgentes Pasilaban
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location1822 Springgate Ln Apt G, Simi Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Klar Fulgentes Pasilaban graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1104371806
  • Provider Enumeration Date: 08/23/2016
  • Last Update Date: 07/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2769764372
  • Enrollment ID: I20170116000193

Medical Identifiers

Medical identifiers for Mr Klar Fulgentes Pasilaban such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104371806NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95004610 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 813583 (Nevada)Secondary
363LP2300XNurse Practitioner - Primary Care 54130 (New Mexico)Secondary
363LP2300XNurse Practitioner - Primary Care 95004610 (California)Primary
363LP2300XNurse Practitioner - Primary Care AP61019951 (Washington)Secondary
363LP2300XNurse Practitioner - Primary Care 202005274NP-PP (Oregon)Secondary
363LP2300XNurse Practitioner - Primary Care 219427 (Arizona)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Physicians Network3274580972544

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. Mr Klar Fulgentes Pasilaban allows following entities to bill medicare on his behalf.
Entity NameDignity Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709
Entity NameValley Presbyterian Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033133103
PECOS PAC ID: 1951308105
Enrollment ID: O20061031000344
Entity NameAllied Emergency Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043531346
PECOS PAC ID: 9931391604
Enrollment ID: O20101013000562
Entity NameApex Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265711089
PECOS PAC ID: 4688844277
Enrollment ID: O20110909002790
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083976294
PECOS PAC ID: 3274580972
Enrollment ID: O20120726000175
Entity NameApex Emergency Medical Group- Chapman Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659912798
PECOS PAC ID: 0840626354
Enrollment ID: O20200131001456
Entity NameWecare Shan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043850662
PECOS PAC ID: 3577992940
Enrollment ID: O20200406002226
Entity NameOn Demand Telehealth A Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952068280
PECOS PAC ID: 3971981473
Enrollment ID: O20220610001574

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. Mr Klar Fulgentes Pasilaban 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
Mr Klar Fulgentes Pasilaban, FNP
1822 Springgate Ln Apt G,
Simi Valley, CA 93065-2982

Ph: (805) 256-7828		Mr Klar Fulgentes Pasilaban, FNP
1822 Springgate Ln Apt G,
Simi Valley, CA 93065-2982

Ph: (805) 256-7828

Reviews and Comments


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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.