Individual provider Active NPI

David Kattan, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1104873249
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G69002 Issued in CA
Practice address
5549 W Pico Blvd
Los Angeles, CA 90019-3919
Phone
(323) 936-7279
Fax
(323) 936-0461
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G69002 CA Primary

Addresses

Primary practice location

5549 W Pico Blvd
Los Angeles, CA 90019-3919

Mailing address

5549 W Pico Blvd
Los Angeles, CA 90019-3919
Phone (323) 936-7279

Other identifiers 1

IdentifierTypeStateIssuer
00G690020MedicaidCA

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
I20040514000813 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294725917 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5549 W Pico Blvd
Los Angeles, CA 90019-3919
Phone (323) 936-7279

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Kaiser Foundation Hospital - West la Hospital, Los Angeles, CA, CCN 050561
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69002CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk Uomoto MD a Medical Corporation Cardiovascular Disease Past Accepting new patients
Professional Imaging Network Past Accepting new patients

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104873249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193919",
            "telephone_number": "323-936-7279",
            "fax_number": "323-936-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193919",
            "telephone_number": "323-936-7279",
            "fax_number": "323-936-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTAN",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G69002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G690020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.