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

Mr. Klar Fulgentes Pasilaban, FNP

Individual provider Family Nurse Practitioner · NPI 1104371806

Mr. Klar Fulgentes Pasilaban, FNP is a Nurse Practitioner in Simi Valley, California. Qualified in 2015, 11 years ago. Practices with Hospitalist Group of Montebello Inc, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, New Mexico and Nevada and 2 more.

Years since qualifying
11
Licensed in
AZ, CA, NM, NV, OR, WA
In the registry since
2016
Specialties on file
7
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1822 Springgate Ln Apt G
Simi Valley, CA 93065-2982
Phone: (805) 256-7828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1822 Springgate Ln Apt G, Simi Valley, CA 93065-2982 — (805) 813-7979

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95004610 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95004610 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 813583 (NV)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 54130 (NM)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP61019951 (WA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 202005274NP-PP (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 219427 (AZ)

Record details

NPI number1104371806
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 23, 2016
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hospitalist Group Of Montebello Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Simi Valley