Michael John Pancho Bunag, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95016175 Issued in CA

Practice address

100 N Barranca St Ste 900
West Covina, CA 91791-1637

Phone

(626) 206-0523

Fax

(626) 206-0553

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lev Grinman MD 6 Professional CorporationGroup PAC ID 0941721930, 10 clinicians

Home Care MD Medical GroupGroup PAC ID 8921437088, 15 clinicians

Advanced Practitioner Medical Group - a Professional Nursing CorpGroup PAC ID 4082019401, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

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.

• Advanced Practitioner Medical Group - a Professional Nursing Corp

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1861069957
  Medicare reassignment Care Compare group NPD
• Home Care MD Medical Group

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1023644556
  Medicare reassignment Care Compare group NPD
• Lev Grinman MD 6 Professional Corporation

  • Family Nurse Practitioner
  • Pasadena, CA
  • NPI 1780495382

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Advanced Practice Wound Care and Psyche Specialist

  • Wound Care Registered Nurse
  • Rancho Cucamonga, CA
  • NPI 1063260073
  Medicare reassignment NPD
• Tiamson Inc

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
  • NPI 1124745161
  Medicare reassignment NPD
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  Medicare reassignment
• Greater Valley Physicians Medical Group Inc

  • Primary Care Clinic/Center
  • Hacienda Heights, CA
  • NPI 1053500991
  NPD (past)
• Lakshman D Makandura MD Inc

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1316242639
  NPD (past)
• Lynda Lopez-Freyre FNP-C Professional Nursing Corporation

  • Nurse Practitioner
  • Seal Beach, CA
  • NPI 1720849276
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1104414101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446240",
            "telephone_number": "818-333-6378",
            "fax_number": "813-333-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BARRANCA ST STE 900",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911637",
            "telephone_number": "626-206-0523",
            "fax_number": "626-206-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNAG",
        "first_name": "MICHAEL JOHN",
        "middle_name": "PANCHO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016175",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "95016175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mjbunag@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "mjbunag@hotmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17101 San Jose St",
            "city": "Granada Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913446240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Susan Afable Buhay-Maglunog, M.D.
• Vivian Huang Buhler
• Kiet Bui, OD
• Nelia Bautista Bulos, NP
• Thear Bun
• Brittany Burciaga
• Susan Su Burns, LCSW
• Richard Michael Burwick, M.D., M.P.H.
• Liezel Bush
• Lauren Bustamante

• Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.