Klar Fulgentes Pasilaban, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95004610 Issued in CA

Practice address

1822 Springgate LN Apt G
Simi Valley, CA 93065-2982

Phone

(805) 256-7828

NPI assigned

Aug 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

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

Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Im-FSR IncGroup PAC ID 6901035138, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

84.94 of 100Reported as group

Quality

73.38

Improvement activities

40

Cost

72.82

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Adventist Health Physicians Network

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1083976294

  CA

  Medicare reassignment Care Compare group NPD
• Hospitalist Group of Montebello Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1578959318

  CA

  Medicare reassignment Care Compare group
• Im-FSR Inc.

  • Hospitalist Physician
  • Chino Hills, CA
  • NPI 1154742229

  CA

  Medicare reassignment Care Compare group
• Allied Emergency Physicians, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Simi Valley, CA
  • NPI 1043531346

  CA

  Medicare reassignment NPD
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089

  CA

  Medicare reassignment NPD
• K-Clear Nursing Inc

  • Family Medicine Physician
  • Simi Valley, CA
  • NPI 1316597230
  NPD Authorized official
• Sunrise Medical Associates Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1568858306

  CA

  Medicare reassignment
• Sunrise Post Acute Services Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1932068640

  CA

  Medicare reassignment
• Valley Presbyterian Emergency Medical Associates

  • Emergency Medicine Physician
  • Van Nuys, CA
  • NPI 1033133103

  CA

  Medicare reassignment
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Care Compare group
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Endocrinology, Diabetes & Metabolism Physician
  • La Canada Flintridge, CA
  • NPI 1427310648
  NPD

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1104371806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 SPRINGGATE LN APT G",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652982",
            "telephone_number": "805-256-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SPRINGGATE LN APT G",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652982",
            "telephone_number": "805-256-7828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 Springgate Ln Apt G",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652982",
            "country_code": "US",
            "telephone_number": "805-813-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASILABAN",
        "first_name": "KLAR",
        "middle_name": "FULGENTES",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004610",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "813583",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "54130",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95004610",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61019951",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "202005274NP-PP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "219427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Partello, RRT
• Partners in ABA Solutions LLC
• Joanne Pamela Parungao, O.D.
• Parvin D. Syal M.D. Inc
• Joshua Pasewaldt
• Passages Hospice Care, Inc.
• Mariela V Passarelli, PHARM.D., R.PH.
• Amish Patel
• Chandni Patel, D.M.D
• Crystal Patel, MS, MBA, LEP

• All providers in Simi Valley, CA
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.