Individual provider Active NPI

Carl Feld, MD

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1205837697
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54655 Issued in CA
Practice address
4101 Torrance Blvd
Torrance, CA 90503-4607
Phone
(310) 374-8191
Fax
(310) 303-6834
NPI assigned
Aug 9, 2005
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54655 CA Primary

Addresses

Primary practice location

4101 Torrance Blvd
Torrance, CA 90503-4607

Mailing address

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 374-8191

Other identifiers 1

IdentifierTypeStateIssuer
00A546550MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cfeld191889@oc.providencedirect.org

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
I20060112000322 CA Practitioner - Internal Medicine 5597788828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

4314 W Slauson Ave
Los Angeles, CA 90043-2808
Phone (323) 293-7171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54655CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince May 18, 2013 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince May 18, 2013 Accepting new patients
Advanced Imaging of South Bay, Inc. PastSince Nov 4, 2021 Accepting new patients

Locations

11539 Hawthorne Blvd
Fl 6
Hawthorne, CA 90250
Phone (310) 675-5370

11539 Hawthorne Blvd
Ste 6F
Hawthorne, CA 90250

11539 Hawthorne Blvd
Ste F
Hawthorne, CA 90250

12618 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 263-5700

4314 W Slauson Ave
Los Angeles, CA 90043
Phone (323) 293-7171

4314 W Slauson Ave
Fl 2
Los Angeles, CA 90043

5100 W Goldleaf Cir
Fl 2
Los Angeles, CA 90056
Phone (323) 293-7171

5100 W Goldleaf Cir
Ste 200
Los Angeles, CA 90056
Phone (323) 293-7171

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

8540 S Sepulveda Blvd
Ste 818
Westchester, CA 90045
Phone (310) 670-3255

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1205837697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-374-8191",
            "fax_number": "310-303-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034607",
            "telephone_number": "310-374-8191",
            "fax_number": "310-303-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELD",
        "first_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A546550",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cfeld191889@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5100 W Goldleaf Cir Ste 200",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900561271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.