Active NPI
Pierangelo Renella, M.D.
- Pediatric Cardiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- A86410
- Practice address
- 10833 Le Conte Ave
MDCC, B2-427
Los Angeles, CA 90095-3075 - Phone
- (310) 825-5296
- NPI assigned
- Oct 12, 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | A86410 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave
MDCC, B2-427
Los Angeles, CA 90095-3075
Mailing address
455 S Main St
Orange, CA 92868-3835
Phone (714) 289-4511
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of California, Irvine, California College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86410 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital of Orange County | Pediatric Cardiology | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Pih Health Whittier Hospital | Past | Accepting new patients | |
| Children'S Hospital of Orange County | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients |
Locations
500 Superior Ave
Ste 140
Newport Beach, CA 92663
Phone (949) 631-3603
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- prenella48585@direct.uclahealth.org
Organizations & group practices 10
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.
-
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
Pediatric Cardiology
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Children's Hospital
- Orange, CA
- NPI 1811080526
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1124117254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-289-4511",
"fax_number": "714-204-3212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LE CONTE AVE",
"address_2": "MDCC, B2-427",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-825-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENELLA",
"first_name": "PIERANGELO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "A86410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.