Active NPI
Michael R Recto, MD
- Pediatric Cardiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A55642
- Practice address
- 200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-1845 - Phone
- (310) 825-0867
- Fax
- (310) 794-5066
- NPI assigned
- Jun 20, 2005
- Last updated
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | A55642 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste 265
Los Angeles, CA 90095-1845
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200156100A | Medicaid | IN | |
| 64331358 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55642 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital of Orange County | Pediatric Cardiology | Current | Accepting new patients |
| Pediatric Cardiology Associates | Pediatric Cardiology | Current | Accepting new patients |
| UC Regents | Pediatric Cardiology | Current | Accepting new patients |
| Baptist Healthcare System Inc. | Past | Accepting new patients | |
| University Healthcare System, L.C. | Past | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Uofl Health-Louisville Inc | Past | Accepting new patients | |
| Children's Hospital of Orange County | Past | Accepting new patients | |
| University Medical Center, Inc | Past | Accepting new patients | |
| Norton Hospitals, Inc | Past | Accepting new patients |
Locations
10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124
200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
Dept LA 21333
Pasadena, CA 91185
892 Aerovista Pl
Ste 210
San Luis Obispo, CA 93401
Phone (805) 549-8023
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
Dept 8250
Carol Stream, IL 60122
601 S Floyd St
Ste 602
Louisville, KY 40202
Phone (502) 585-4802
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHOC Children's Specialists
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
Pediatric Cardiology
-
dba UCLA Dept of Pediatric Grp Practice
- Pediatrics Physician
- Los Angeles, CA
- NPI 1982667663
Pediatric Cardiology
-
- Pediatric Cardiology Physician
- Louisville, KY
- NPI 1487781449
-
dba Rady Children's Hospital Orange County
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
dba Norton Children's Hospital
- Children's Hospital
- Louisville, KY
- NPI 1982609442
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba DBA University of Lousiville Hospital
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1639711294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1013912674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE 265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951845",
"telephone_number": "310-825-0867",
"fax_number": "310-794-5066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTO",
"first_name": "MICHAEL",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A55642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200156100A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64331358",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.