Active NPI
Jose David Delgado, MD
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207QA43559
- Practice address
- 5240 E. Beverly Blvd.
Los Angeles, CA 90022-2002 - Phone
- (323) 727-9936
- NPI assigned
- Jul 26, 2006
- Last updated
- Jul 11, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207QA43559 | CA | Primary |
Addresses
Primary practice location
5240 E. Beverly Blvd.
Los Angeles, CA 90022-2002
Mailing address
5240 E Beverly Blvd
Los Angeles, CA 90022-2002
Phone (323) 727-9936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A435591 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050321001019 | CA | Practitioner - Family Practice | 0547215741 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5240 E Beverly Blvd
Los Angeles, CA 90022-2002
Phone (323) 727-9936
Hospital & facility affiliations
- Intermed Home Care Services
- Monterey Park Hospital
- Adventist Health White Memorial
- Montebello Care Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Prostate resection | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207QA43559 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahmc Garfield Medical Center LP | Past | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/gemcomm-11c03bf8
Organizations & group practices 2
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 Garfield Medical Center
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
dba Monterey Park Hospital
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Monterey Park Hospital
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
dba Montebello Care Center
- Skilled Nursing Facility
- Montebello, CA
- NPI 1447225438
Nursing home
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1013931179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 E BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900222002",
"telephone_number": "323-727-9936",
"fax_number": "323-725-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 E. BEVERLY BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900222002",
"telephone_number": "323-727-9936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO",
"first_name": "JOSE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "207QA43559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A435591",
"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 Jul 11, 2008; 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.