Individual provider Active NPI

Joseph S Englanoff, M.D.

  • Emergency Medicine Physician
  • Hawaiian Gardens, CA
National Provider Identifier
1295780260
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G77404 Issued in CA
Practice address
21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608
Phone
(714) 522-2001
Fax
(714) 522-7503
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77404CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G77404 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

21530 Pioneer Blvd
Hawaiian Gardens, CA 90716-2608

Mailing address

Dept 2268
Los Angeles, CA 90084-0001
Phone (714) 522-2001

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00G774040MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2013.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1295780260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 2268",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840001",
            "telephone_number": "714-522-2001",
            "fax_number": "714-522-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BLVD",
            "city": "HAWAIIAN GARDENS",
            "state": "CA",
            "postal_code": "907162608",
            "telephone_number": "714-522-2001",
            "fax_number": "714-522-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLANOFF",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G77404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G774040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawaiian Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.