Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonora B Bantugan

Individual provider Primary Care Nurse Practitioner · NPI 1285393181

Leonora B Bantugan is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Kidney Consultants Medical Group Inc, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

200 UCLA Medical Plz Ste 565C
Los Angeles, CA 90095-1252
Phone: (310) 267-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11550 Indian Hills Rd Ste 371, Mission Hills, CA 91345-1252 — (818) 365-1194

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95019337 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95019337 (CA)

Record details

NPI number1285393181
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 8, 2021
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kidney Consultants Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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