Active NPI
Fred R. Sattler, M.D.
- Infectious Disease Physician
- Los Angeles, CA
National Provider Identifier
1104921303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G27688
- Practice address
- 1520 San Pablo St
Suite 1000
Los Angeles, CA 90033-5310 - Phone
- (323) 442-5100
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G27688 | CA | Primary |
Addresses
Primary practice location
1520 San Pablo St
Suite 1000
Los Angeles, CA 90033-5310
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-5100
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356390009 | Other | CA | GROUP NPI |
| 1902846306 | Other | CA | GROUP NPI |
| GR0016910 | Other | CA | GROUP MEDICAID PIN |
| GR0100430 | Other | CA | GROUP MEDICAL |
| 00G276880 | Other | CA | BLUE SHIELD |
| 00G276880 | Medicaid | CA | |
| 00G276880197 | Other | CA | CAL OPTIMA |
| W11675 | Other | CA | GROUP MEDICARE PIN |
| W18762 | Other | CA | GROUP MEDICARE |
| CE1617 | Other | CA | GROUP RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 27688 | CA | MD | General Practice Dentistry |
| G27688 | CA | MD | Infectious Disease Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1104921303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SAN PABLO ST",
"address_2": "SUITE 1000",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335310",
"telephone_number": "323-442-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SATTLER",
"first_name": "FRED",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G27688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1356390009",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1902846306",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID PIN",
"identifier": "GR0016910",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAL",
"identifier": "GR0100430",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G276880",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G276880",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL OPTIMA",
"identifier": "00G276880197",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "W11675",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "W18762",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP RAILROAD MEDICARE",
"identifier": "CE1617",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}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 Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.