Silica Dioca Bungabong

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95002654 Issued in CA

Practice address

4619 Rosewood Ave Apt 106
Los Angeles, CA 90004-1890

Phone

(323) 557-6317

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Neuro Medical Services IncGroup PAC ID 9638567753, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
• Memorial Hospital of Gardena Hospital, Gardena, CA, CCN 050468

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: silica.bungabong.p22@direct.regal.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Neuro Medical Services Inc

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Marina del Rey, CA
  • NPI 1447833405

  CA

  Medicare reassignment Care Compare group NPD
• Kidney and Hypertension Consultants

  • Nephrology Physician
  • Northridge, CA
  • NPI 1487993176

  CA

  Medicare reassignment NPD
• Professional Hospice Services, Inc.

  • Community Based Hospice Care Agency
  • Pasadena, CA
  • NPI 1174932735
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gardena Hospital LP

  • General Acute Care Hospital
  • Gardena, CA
  • NPI 1063412005

  Hospital

  Care Compare affiliation
• Prime Healthcare Centinela, LLC

  • General Acute Care Hospital
  • Inglewood, CA
  • NPI 1336328244

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1104293067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 ROSEWOOD AVE APT 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041890",
            "telephone_number": "323-557-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 ROSEWOOD AVE APT 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900041890",
            "telephone_number": "323-557-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNGABONG",
        "first_name": "SILICA",
        "middle_name": "DIOCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95002654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Bumpers-King
• Kesarin Bumroongnangam
• Alison Bunasawa, LMFT
• Charita Nichole Bundick, RD
• Michael James Bundy, D.M.D., M.D., PHARM.
• Helen Bunn, M.A.,CCC-SLP
• Shonn Bunn
• Suphamai Bunnapradist, M.D.
• Mark Bunnell
• Susan Loree Bunten, PA-C

• All providers in Los Angeles, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.