Individual provider Active NPI

Joshua Clifton Eldridge, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1093371544
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A179977 Issued in CA
Practice address
2250 Alcazar St Ste 2200
Los Angeles, CA 90089-1011
Phone
(323) 442-4000
NPI assigned
May 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A179977 CA Primary

Addresses

Primary practice location

2250 Alcazar St Ste 2200
Los Angeles, CA 90089-1011

Mailing address

2010 Zonal Ave # 1P10
Los Angeles, CA 90033-1026

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
I20230802002361 CA Practitioner - Psychiatry 6406277284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12301 Wilshire Blvd
Los Angeles, CA 90025-1000
Phone (424) 538-4494

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179977CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Jun 27, 2023 Accepting new patients
Usc Care Medical Group, Inc Psychiatry Past Accepting new patients

Locations

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

12301 Wilshire Blvd
Ste 415
Los Angeles, CA 90025

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1093371544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ZONAL AVE # 1P10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 ALCAZAR ST STE 2200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900891011",
            "telephone_number": "323-442-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "JOSHUA",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A179977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.