Bianca Parco Pugeda

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029384 Issued in CA

Practice address

5176 Julia Berger Cir
Fairfield, CA 94534-4283

Phone

(650) 580-3371

NPI assigned

Mar 8, 2024

Sex

Female

Sole proprietor

No

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chanukya Dasari MD a Professional CorporationGroup PAC ID 8224526173, 11 clinicians

Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

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.

• Chanukya Dasari MD a Professional Corporation

  • Surgery Physician
  • La Puente, CA
  • NPI 1942184817
  Medicare reassignment Care Compare group NPD
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment Care Compare group NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1932967627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5176 JULIA BERGER CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344283",
            "telephone_number": "650-580-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5176 JULIA BERGER CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344283",
            "telephone_number": "650-580-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGEDA",
        "first_name": "BIANCA",
        "middle_name": "PARCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proficio Speech Therapy Group, Inc.
• Proficio Therapy Services, LLC
• Prosperian Group Inc
• Psychological Solutions & Assessment Apc
• Manuel Puebla
• Alicia Y Pugh, MD
• Ki-Ana Pugh
• Toni Pullium, LVN
• Pulmonary and Sleep Associates of California, Inc
• Michelle Lynn Punla, ASW

• Family Nurse Practitioner in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.