- Medicare Primary Care in Los Angeles, CA

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is a medicare enrolled primary clinic (Nurse Practitioner - Primary Care) in Los Angeles, California. The current practice location for is 5015 Eagle Rock Blvd Ste 205, Los Angeles, California. For appointments, you can reach them via phone at (747) 300-7541. The mailing address for is 5015 Eagle Rock Blvd Ste 205, Los Angeles, California and phone number is (747) 300-7541.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336505197. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (747) 300-7541.

Contact Information

5015 Eagle Rock Blvd Ste 205
Los Angeles
CA 90041-2087
(747) 300-7541
(818) 471-4287

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityNurse Practitioner
Location5015 Eagle Rock Blvd Ste 205, Los Angeles, California
Authorized Official Name and PositionMarlon C Salamat (ADMINISTRATOR)
Authorized Official Contact7473007541
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

5015 Eagle Rock Blvd Ste 205
Los Angeles
CA 90041-2087

Ph: (747) 300-7541
5015 Eagle Rock Blvd Ste 205
Los Angeles
CA 90041-2087

Ph: (747) 300-7541

NPI Details:

NPI Number1336505197
Provider Enumeration Date01/11/2016
Last Update Date10/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3072819945
Medicare Enrollment IDO20160303000886

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336505197NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameMaria Cristina Ortiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962494641
PECOS PAC ID: 0244226710
Enrollment ID: I20040421000697
Provider NameGilbert E Faustina
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558303271
PECOS PAC ID: 7113999798
Enrollment ID: I20040812001043
Provider NameFidel M Lara
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194909481
PECOS PAC ID: 4688622517
Enrollment ID: I20050110000438
Provider NameAbdul R Khan
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1063400380
PECOS PAC ID: 5496788036
Enrollment ID: I20050914001132
Provider NameDavid W Dinwiddle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679644587
PECOS PAC ID: 7517098890
Enrollment ID: I20100630000581
Provider NameHermilito Villar
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1710946009
PECOS PAC ID: 4486729720
Enrollment ID: I20120305000235
Provider NameWilliam Ang Chua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639199656
PECOS PAC ID: 1658526082
Enrollment ID: I20130308000401
Provider NameLilibeth O Ramirez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497964688
PECOS PAC ID: 0446497655
Enrollment ID: I20130507000625
Provider NameMarlyn Susan Villanueva Bartholomew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215574801
PECOS PAC ID: 7416356209
Enrollment ID: I20210527001786

Reviews and Comments


Nurse Practitioner in Los Angeles, CA

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Phone: 310-855-8081    Fax: 310-855-0438

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Medicare: Not Enrolled in Medicare
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Phone: 323-725-8751    Fax: 323-889-7399
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Medicare: Not Enrolled in Medicare
Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022
Phone: 323-832-7527    Fax: 323-832-7599

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Medicare: Medicare Enrolled
Practice Location: 611 S Kingsley Dr, Los Angeles, CA 90005
Phone: 213-201-1623    Fax: 213-201-1595

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.