JACQUELINE DULANTO MD
NPI 1205567013
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

NPI Status: Active since June 22, 2022

Contact Information

1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 268-5000

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  • Individual
  • Female
  • Years of Experience 4
  • Student in an Organized Health Care Educ...
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About JACQUELINE DULANTO

This page provides the complete NPI Profile along with additional information for Jacqueline Dulanto, a primary care provider established in Los Angeles, California with a medical specialization in Student In An Organized Health Care Education/training Program and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1205567013 assigned on June 2022. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1205567013
Provider Name
JACQUELINE DULANTO MD
Gender
Female
Entity Type
Individual
Location Address
1720 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033
Location Phone
(323) 268-5000
Mailing Address
1720 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033
Mailing Phone
(323) 268-5000
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
06-22-2022
Last Update Date
06-22-2022
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A primary care provider (PCP) like Jacqueline Dulanto sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
CA
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Jacqueline Dulanto is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Jacqueline Dulanto is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7416479340

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250319003958

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205567013
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051061402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 0 + 6 + 1 + 4 + 0 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1205567013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720072473 DAVID V KON M.D.
Individual
Pathology (Clinical Pathology/Laboratory Medicine)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(323) 268-5000
1508851726 KIL U LEE M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(323) 268-5000
1790771830 DARIUSH SAHMEDINI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(323) 268-5000
1215927470WHITE MEMORIAL MEDICAL CENTER
Organization
General Acute Care Hospital1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(323) 268-5000
1104877315JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Organization
Emergency Medicine1720 E CESAR E CHAVEZ AVE EMERGENCY DEPARTMENT
LOS ANGELES, CA 90033
(323) 268-5000
1235184367 BRIAN D. JOHNSTON M.D.
Individual
Emergency Medicine1720 E CESAR E CHAVEZ AVE EMERGENCY DEPARTMENT
LOS ANGELES, CA 90033
(323) 268-5000
1437191855DR. MEGAN LYNN MCALLISTER M.D.
Individual
Emergency Medicine1720 E CESAR E CHAVEZ AVE EMERGENCY DEPT.
LOS ANGELES, CA 90033
(323) 268-5000
1710929831DR. ERIC P. NASTRO M.D.
Individual
Emergency Medicine1720 E CESAR E CHAVEZ AVE EMERGENCY DEPT.
LOS ANGELES, CA 90033
(323) 268-5000
1689610057 RUBEN R BRECHNER M.D.
Individual
Radiology (Body Imaging)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1114953601 MICHAEL J NEGLIO M.D.
Individual
Radiology (Body Imaging)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1295761658 CHRISTOPHER D CUMINGS M.D.
Individual
Radiology (Body Imaging)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1790714020 MARY SPENCER-SMITH M.D.
Individual
Radiology (Body Imaging)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1619906104 EDWARD A GABRIEL M.D.
Individual
Radiology (Body Imaging)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1831123868RADIOLOGY MEDICAL GROUP OF WMMC
Organization
Radiology (Diagnostic Radiology)1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(626) 795-1610
1568496404CICERO H. MALILAY, M.D., INC.
Organization
Anesthesiology1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(800) 883-7243
1487663753 YSMAEL YAP M.D.
Individual
Anesthesiology1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(562) 407-2080
1063421311 GARY FAN MD
Individual
Anesthesiology1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(562) 407-2080
1689684078 SUBBARAMAIAH KAVURI MD
Individual
Anesthesiology1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(562) 407-2080
1356440507SAMUEL LOH, MD, INC
Organization
Anesthesiology1720 E CESAR E CHAVEZ AVE
LOS ANGELES, CA 90033
(800) 883-7243
1730251356DR. SOHA DARWISH IDRISS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1720 E CESAR E CHAVEZ AVE WMMC-NICU
LOS ANGELES, CA 90033
(323) 268-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205567013, enumerated in the NPI registry as an "individual" on June 22, 2022

The provider is located at 1720 E Cesar E Chavez Ave Los Angeles, Ca 90033 and the phone number is (323) 268-5000

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 4 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 22, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.