Miss Diva Christy Lugatiman, FNP-BC in Los Angeles, CA

Miss Diva Christy Lugatiman, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 1800 Vine St Ste 221, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 943-2490.

Miss Diva Christy Lugatiman is licensed to practice in California (license number 757605) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609435940.

Contact Information

	Miss Diva Christy Lugatiman, FNP-BC
	1800 Vine St Ste 221, Los Angeles, CA 90028-5250
	(213) 943-2490
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Diva Christy Lugatiman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1800 Vine St Ste 221, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609435940
Provider Enumeration Date: 06/11/2019
Last Update Date: 02/05/2025

Medicare PECOS Information:

PECOS PAC ID: 0648502716
Enrollment ID: I20191023002209

Medical Identifiers

Medical identifiers for Miss Diva Christy Lugatiman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609435940	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	757605 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	757605 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Diva Christy Lugatiman allows following entities to bill medicare on her behalf.

Entity Name	Universal Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376632877 PECOS PAC ID: 2365332368 Enrollment ID: O20040315001597

Entity Name	Molina Healthcare Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194811760 PECOS PAC ID: 7517957608 Enrollment ID: O20061101000348

Entity Name	Concertocare Medical Group Of California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922777259 PECOS PAC ID: 1850782186 Enrollment ID: O20211221002909

Entity Name	Central Health Plan Of California, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386714772 PECOS PAC ID: 7416395736 Enrollment ID: O20240405001559

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Diva Christy Lugatiman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Diva Christy Lugatiman, FNP-BC 437 S Empire St, Anaheim, CA 92804-2430 Ph: (714) 309-3403	Miss Diva Christy Lugatiman, FNP-BC 1800 Vine St Ste 221, Los Angeles, CA 90028-5250 Ph: (213) 943-2490

Reviews and Comments

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Miss Diva Christy Lugatiman, FNP-BC - Medicare Nurse Practitioner in Los Angeles, CA