Active NPI
Andrea A Kovacs, M.D.
- Pediatric Infectious Diseases Physician
- Los Angeles, CA
National Provider Identifier
1073611778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- G41428
- Practice address
- 2010 Zonal Avenue, Medical Village
Opd 5 West
Los Angeles, CA 90033 - Phone
- (323) 226-2200
- Fax
- (323) 226-3971
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2015
- Sex
- Female
- 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 Infectious Diseases Physician | 2080P0208X | G41428 | CA | Primary |
Addresses
Primary practice location
2010 Zonal Avenue, Medical Village
Opd 5 West
Los Angeles, CA 90033
Mailing address
1000 S. Freemont Avenue, Unit 62, Suite 10220
Alhambra, CA 91803
Phone (626) 457-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G414280 | Medicaid | CA |
Other names 1
- Andrea Kovacs Loomis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41428 | CA | MD | Marriage & Family Therapist |
| G41428 | CA | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1073611778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S. FREEMONT AVENUE, UNIT 62, SUITE 10220",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91803",
"telephone_number": "626-457-5820",
"fax_number": "626-457-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL AVENUE, MEDICAL VILLAGE",
"address_2": "OPD 5 WEST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-226-2200",
"fax_number": "323-226-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOVACS",
"first_name": "ANDREA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CA",
"license": "G41428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G414280",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA KOVACS",
"last_name": "LOOMIS",
"code": "5",
"type": "Other Name"
}
]
}
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 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.