Individual provider Active NPI

Andrew Milton Eads, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1225476252
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A125560 Issued in CA
Practice address
1200 N State St
Suite CT-A7D
Los Angeles, CA 90033-1029
Phone
(323) 409-1945
NPI assigned
Jun 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A125560 CA Primary

Addresses

Primary practice location

1200 N State St
Suite CT-A7D
Los Angeles, CA 90033-1029

Mailing address

1200 N State St
Suite CT-A7D
Los Angeles, CA 90033-1029
Phone (323) 409-1945

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
I20140827002314 CA Practitioner - Emergency Medicine 6901024256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Emergency Physicians IncGroup PAC ID 1052771698, 39 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
79.48
Improvement activities
40
Cost
87.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125560CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Emergency Physicians, Inc. Emergency Medicine CurrentSince Dec 13, 2023 Accepting new patients
Huntington Park Emergency Physicians, Inc Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Emergency Services Medical Corporation Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2623 E Slauson Ave
Walnut Park, CA 90255
Phone (323) 277-5855

Interoperability endpoints

  • Direct secure messaging: aeads@exer.direct.codonix.com

Organizations & group practices 3

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 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1225476252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE CT-A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-409-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "SUITE CT-A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-409-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EADS",
        "first_name": "ANDREW",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A125560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.