Active NPI
Michael Jerome Singleton, M.D., MBA
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1013918119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A064610
- Practice address
- 8880 S Broadway
Los Angeles, CA 90003-3635 - Phone
- (323) 750-1197
- Fax
- (323) 750-0330
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A064610 | CA | Primary |
Addresses
Primary practice location
8880 S Broadway
Los Angeles, CA 90003-3635
Mailing address
PO Box 5167
Oceanside, CA 92052-5167
Phone (310) 600-6046
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA64610A | Other | CA | MEDICARE # |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A064610 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Healthcare Centinela, LLC | Past | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1669533907
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1013918119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5167",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920525167",
"telephone_number": "310-600-6046",
"fax_number": "323-750-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8880 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900033635",
"telephone_number": "323-750-1197",
"fax_number": "323-750-0330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETON",
"first_name": "MICHAEL",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "M.D., MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A064610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "WA64610A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.