Andrew C La, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4312 Issued in CA

Practice address

1510 S Central Ave #120
Glendale, CA 91204-2577

Phone

(818) 242-3668

Fax

(818) 242-2425

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Podiatric Care IncGroup PAC ID 6103151998, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Podiatric Care Inc

  • Podiatrist
  • Chatsworth, CA
  • NPI 1003477167
  Medicare reassignment Care Compare group NPD
• Jittima Jirasetpatana

  • Podiatrist
  • Glendale, CA
  • NPI 1992903710
  NPD (past)
• Joseph Addiego

  • Podiatrist
  • Glendale, CA
  • NPI 1164608394
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1205937133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE #120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042577",
            "telephone_number": "818-242-3668",
            "fax_number": "818-242-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE #120",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042577",
            "telephone_number": "818-242-3668",
            "fax_number": "818-242-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43121",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43120",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E43122",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• La Medical Clinic Inc
• La Pain Associates
• La Quality Care Anesthesia Consultants Inc
• La Skilled Hospice Inc
• La Top Surgery Center LLC
• La'S Best Ambulance, LLC
• Lab360
• Gerard Labayen, OTR/L
• Lac Verdugo Operations LLC
• Lac-Usc Med Center

• Podiatrist in Glendale, CA
• Providers in Glendale, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.

Verify at the official NPI Registry.