Individual provider Active NPI

David W Angert, M.D./PH.D

  • General Practice Physician
  • Long Beach, CA
National Provider Identifier
1033405584
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A131722 Issued in CA
Practice address
243 Prospect Ave
Long Beach, CA 90803-1620
Phone
(310) 923-6287
NPI assigned
Jun 23, 2011
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X T32HL116273 CA
Internal Medicine Physician 207R00000X MT198953 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 115994 CA
General Practice Physician 208D00000X A131722 CA Primary

Addresses

Primary practice location

243 Prospect Ave
Long Beach, CA 90803-1620

Mailing address

243 Prospect Ave
Long Beach, CA 90803-1620
Phone (310) 923-6287

Other identifiers 1

IdentifierTypeStateIssuer
19113GAPMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190510000774 CA Practitioner - General Practice 4385987536 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA
I20250717002690 PA Practitioner - Addiction Medicine 4385987536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Long Beach, CA 90808
Phone (310) 923-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T32HL116273CAMDResearch Study Specialist
MT198953PAMDInternal Medicine Physician
115994CAMDAnatomic Pathology & Clinical Pathology Physician
A131722CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Janus Medical Associates CurrentSince Jun 1, 2025 Accepting new patients

Locations

3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108

1300 Virginia Dr
Ste 410
Ft Washington, PA 19034
Phone (215) 420-0381

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1033405584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 PROSPECT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031620",
            "telephone_number": "310-923-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 PROSPECT AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908031620",
            "telephone_number": "310-923-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGERT",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "T32HL116273",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT198953",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "115994",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A131722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19113GAP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.