Silica Dioca Bungabong
NPI 1104293067ActiveIndividual· Nurse Practitioner, Family· Los Angeles, CA
Nurse Practitioner, Family with Southern California Neuro Medical Services Inc, practicing in Los Angeles, California. Mostly services rather than prescriptions: Medicare paid $168,433 for 443 patients in 2024, with only 24 Part D claims. Tg Therapeutics, Inc. was the largest of 3 companies reporting payments in 2025, $394.67 in all, mostly food and beverage. Lists Centinela Hospital Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1104293067 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 27, 2015 |
| Last updated in NPPES | Aug 27, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | NP95002654 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 443 |
|---|---|
| Services billed | 2,867 across 6 procedure codes |
| Paid by Medicare | $168,433 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 38 30-day fills |
|---|---|
| Total drug cost | $477.78 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southern California Neuro Medical Services IncMarina Del Rey, CA · 6 clinicians
Hospital affiliations
- Centinela Hospital Medical CenterInglewood, CA
- Memorial Hospital of GardenaGardena, CA
Industry payments (Open Payments)
- 2025$394.67 · 4 payments from 3 companies
- 2024$562.64 · 24 payments from 13 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Tg Therapeutics, Inc. | $258.67 | 2 |
| Eisai Inc. | $110.47 | 1 |
| Glaxosmithkline, LLC. | $25.53 | 1 |
What the 2025 payments were for
- Food and Beverage$394.67 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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