Individual provider Active NPI

Rebecca Louis Fitzgerald, M.D.

  • Procedural Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1285690321
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A49000 Issued in CA
Practice address
321 N Larchmont Blvd
Suite 906
Los Angeles, CA 90004-3025
Phone
(323) 464-8046
Fax
(323) 464-1832
NPI assigned
Apr 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A49000 CA
Procedural Dermatology Physician 207NS0135X A49000 CA Primary

Addresses

Primary practice location

321 N Larchmont Blvd
Suite 906
Los Angeles, CA 90004-3025

Mailing address

PO Box 2866
Torrance, CA 90509-2866
Phone (310) 792-0601

Other identifiers 1

IdentifierTypeStateIssuer
00A490000OtherCABLUE SHIELD

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
I20051216000369 CA Practitioner - Dermatology 5698796787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 N Larchmont Blvd
Suite 906
Los Angeles, CA 90004-6409
Phone (323) 464-8046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions163
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49000CAMDMarriage & Family Therapist
A49000CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Fitzgerald M.D. , Inc. Procedural Dermatology CurrentSince Aug 15, 2013 Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients

Locations

321 N Larchmont Blvd
Ste 9
Los Angeles, CA 90004
Phone (323) 464-8046

321 N Larchmont Blvd
Ste 906
Los Angeles, CA 90004
Phone (323) 464-8046

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1285690321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2866",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905092866",
            "telephone_number": "310-792-0601",
            "fax_number": "310-792-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "SUITE 906",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043025",
            "telephone_number": "323-464-8046",
            "fax_number": "323-464-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "REBECCA",
        "middle_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A49000",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A49000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A490000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.