LUIS ISAAC VENEGAS – Family Nurse Practitioner, NPI 1609698711

LUIS ISAAC VENEGAS is a healthcare provider. based in Brawley, California. specializing in NURSE PRACTITIONER. They hold a License No. 95032172 (CA). The NPI Number for LUIS ISAAC VENEGAS is 1609698711

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
LUIS ISAAC VENEGAS
NPI
1609698711
Phone
(760) 351-4400
Address
207 W LEGION RD
Enumeration Date
29 October 2024
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7605924351
Graduation Year
2024 (2 years ago)
PAC ID
3779089453
Group Practice PAC ID
3072870112
Professional Enrollment ID
I20260303002306
Address ID
CA922312875CA400XXAVEX309
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LUIS ISAAC VENEGAS

  • 207 W LEGION RD

    BRAWLEY, CA 922277780

    Phone: (760) 351-4400

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260303002306INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92227)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072870112View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Internal MedicineCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Family PracticeTN

Reviews

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Frequently asked questions

Where can patients find LUIS ISAAC VENEGAS's NPI?
You can confirm LUIS ISAAC VENEGAS with NPI 1609698711; it appears in the national provider directory.
Is LUIS ISAAC VENEGAS currently active in the NPI registry?
CMS-published data lists LUIS ISAAC VENEGAS as an active registrant.
What kind of provider is LUIS ISAAC VENEGAS?
The page reflects Family Nurse Practitioner for LUIS ISAAC VENEGAS. Clinical services aligned with this taxonomy classification.
Where is LUIS ISAAC VENEGAS's primary listing?
We display Brawley, California because that is what the record indicates for LUIS ISAAC VENEGAS.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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