LOVELLA MEDILO (NP) – Nurse Practitioner, NPI 1659930485

LOVELLA MEDILO (NP) is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP020368 (PA). The NPI Number for LOVELLA MEDILO (NP) is 1659930485

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
LOVELLA MEDILO (NP)
NPI
1659930485
Phone
(619) 578-3740
Address
4033 3RD AVE STE 430
Enumeration Date
5 June 2019
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8585713630
Graduation Year
2018 (8 years ago)
PAC ID
5597096628
Group Practice PAC ID
6608260179
Professional Enrollment ID
I20191003003056
Address ID
CA921231338SA5395XRDXX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LOVELLA MEDILO (NP)

  • 4033 3RD AVE STE 430

    SAN DIEGO, CA 921032117

    Phone: (619) 578-3740

    Fax: (858) 437-6702

    Type: Mailing

  • 5395 RUFFIN RD STE 204

    SAN DIEGO, CA 921231338

    Phone: (858) 571-3630

    Fax: (858) 295-3948

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 156 Open Payments records for all available years, with a total value of $3,467.

Total Amount is formed as General ($3,467) + Research ($0) + Ownership ($0) = $3,467.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Abbott Laboratories ($694).

Total Amount

$3,467

General + Research + Ownership

Payments

156

Total payment records

General Amount

$3,467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2019-10-03

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
I20191003003056INurse 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 92103)

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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: 6608260179View full group profile
NameSpecialtyState
Nurse PractitionerCA
Pain Management, Physical Medicine And RehabilitationMO
Certified Registered Nurse Anesthetist (Crna)CA
Physician AssistantNV
Physician AssistantCA
Physician AssistantCA
Pain ManagementCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is LOVELLA MEDILO (NP)'s NPI number?
LOVELLA MEDILO (NP)'s NPI is 1659930485 — the number used across U.S. healthcare to identify this provider.
Is LOVELLA MEDILO (NP) still an active registrant?
LOVELLA MEDILO (NP) carries an active NPI according to the public dataset.
What area of care is associated with LOVELLA MEDILO (NP)?
LOVELLA MEDILO (NP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is LOVELLA MEDILO (NP) registered?
Use San Diego, California as the headline location for LOVELLA MEDILO (NP) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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