Individual provider Active NPI

Paulina Bianca Sagaral Pilotos

  • Family Nurse Practitioner
  • Highland Park, CA
National Provider Identifier
1710658083
Registry record updated Sep 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95017549 Issued in CA
Practice address
6000 N Figueroa St
Highland Park, CA 90042-4232
Phone
(866) 616-9344
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95017549 CA Primary

Addresses

Primary practice location

6000 N Figueroa St
Highland Park, CA 90042-4232

Mailing address

620 Del Monte St
Pasadena, CA 91103-2031
Phone (626) 318-5182

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220308001742 CA Practitioner - Nurse Practitioner 6507250545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arroyo Vista Family Health FoundationGroup PAC ID 2264498930, 21 clinicians

Practice addresses (Care Compare)

6000 N Figueroa St
Los Angeles, CA 90042-4232
Phone (323) 254-5291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95017549CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arroyo Vista Family Health Foundation CurrentSince Jan 31, 2022 Accepting new patients
Arroyo Vista Family Health Foundation CurrentSince Jan 31, 2022 Accepting new patients

Locations

6000 N Figueroa St
Los Angeles, CA 90042
Phone (323) 254-5221

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: paulina.pilotos.p1@direct.arroyovista.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632528000000",
    "number": "1710658083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 DEL MONTE ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032031",
            "telephone_number": "626-318-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N FIGUEROA ST",
            "city": "HIGHLAND PARK",
            "state": "CA",
            "postal_code": "900424232",
            "telephone_number": "866-616-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILOTOS",
        "first_name": "PAULINA BIANCA",
        "middle_name": "SAGARAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, CA

Sources for this page

Verify at the official NPI Registry.