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

Michael John Pancho Bunag, NP

Individual provider Nurse Practitioner · NPI 1104414101

Michael John Pancho Bunag, NP is a Nurse Practitioner in West Covina, California. Qualified in 2020, 6 years ago. Practices with Lev Grinman MD 6 Professional Corporation, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 N Barranca St Ste 900
West Covina, CA 91791-1637
Phone: (626) 206-0523
Fax: (626) 206-0553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95016175 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 95016175 (CA)

Record details

NPI number1104414101
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 5, 2021
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lev Grinman Md 6 Professional Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in West Covina