Individual provider Active NPI

Stuart Fischer, M.D.

  • Cardiovascular Disease Physician
  • Los Alamitos, CA
National Provider Identifier
1083656086
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G47229 Issued in CA
Practice address
5300 Katella Ave
Los Alamitos, CA 90720-2808
Phone
(562) 430-7533
Fax
(562) 430-8055
NPI assigned
Jun 12, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G47229 CA Primary
Interventional Cardiology Physician 207RI0011X G47229 CA

Addresses

Primary practice location

5300 Katella Ave
Los Alamitos, CA 90720-2808

Mailing address

5300 Katella Ave
Los Alamitos, CA 90720-2808
Phone (562) 430-7533

Other identifiers 1

IdentifierTypeStateIssuer
00G472290MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000508 CA Practitioner - Cardiovascular Disease (Cardiology) 5991702516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
JS Weill Medical College, Cornell University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Alamitos Internal Medical Group IncGroup PAC ID 6507816642, 8 clinicians

Practice addresses (Care Compare)

5300 Katella Ave
Los Alamitos, CA 90720-2808
Phone (562) 430-7533

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G47229CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Jun 24, 2025 Accepting new patients
Los Alamitos Internal Medical Group Inc CurrentSince Aug 1, 1985 Accepting new patients
University of California Irvine Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

5300 Katella Ave
Los Alamitos, CA 90720
Phone (562) 430-7533

5300 Katella Ave
Ste 300
Los Alamitos, CA 90720

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083656086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202808",
            "telephone_number": "562-430-7533",
            "fax_number": "562-430-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202808",
            "telephone_number": "562-430-7533",
            "fax_number": "562-430-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G47229",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G47229",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G472290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.