Natalia Guiles, FNP
NPI 1164148722ActiveIndividual· Nurse Practitioner, Family· Vista, CA
Nurse Practitioner, Family (FNP) with Monica Perlman MD Inc, practicing in Vista, California. Their prescriptions cost Medicare Part D more than their services did: $155,565 for 797 claims, against $948.98 paid for services in 2024. E.R. Squibb & Sons, L.L.C. was the largest of 20 companies reporting payments in 2025, $1,597 in all, mostly food and beverage. Lists Uc San Diego Health Hillcrest - Hillcrest Med Ctr as a hospital affiliation.
Overview
| NPI | 1164148722 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Oct 17, 2022 |
| Last updated in NPPES | Jun 4, 2024 |
| Certified by provider | Jun 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 95022848 | CA |
| Nurse Practitioner, Family | 363LF0000X | 95120805 | 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 | 15 |
|---|---|
| Services billed | 23 across 10 procedure codes |
| Paid by Medicare | $948.98 |
Part D prescriptions in 2024
| Prescriptions (claims) | 797 · 1,664 30-day fills |
|---|---|
| Patients | 275 |
| Total drug cost | $155,565 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Monica Perlman MD IncSan Diego, CA · 364 clinicians
Hospital affiliation
- Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego, CA
Industry payments (Open Payments)
- 2025$1,597 · 51 payments from 20 companies
- 2024$1,447 · 26 payments from 16 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| E.R. Squibb & Sons, L.L.C. | $213.35 | 7 |
| Alnylam Pharmaceuticals Inc. | $205.65 | 4 |
| Kestra Medical Technology Services, Inc. | $182.10 | 1 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $166.95 | 6 |
| Merck Sharp & Dohme LLC | $130.05 | 4 |
What the 2025 payments were for
- Food and Beverage$1,565 · 50 payments
- Education$32.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 72 family nurse practitioners in Vista · All family nurse practitioners in California