Fernando Antelo, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A108309 Issued in CA

Practice address

1000 W Carson St, Box #12
Department of Pathology
Torrance, CA 90502-2004

Phone

(310) 222-2643

Fax

(310) 222-8002

NPI assigned

Aug 16, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Pathology

Education

University of California, Geffen School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wound MD PCGroup PAC ID 8820314529, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.03 of 100Reported as group

Quality

78.11

Improvement activities

40

Cost

33.57

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 40)

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.

• Wound MD PC

  • General Practice Physician
  • Petaluma, CA
  • NPI 1942606744
  Medicare reassignment Care Compare group NPD Authorized official
• Rancho Wound Care Center, PC

  dba Rancho Wound Care and Podiatry Center

  • Surgery Physician
  • Rancho Cucamonga, CA
  • NPI 1396548236
  Medicare reassignment NPD
• Wound Healing Care Specialists, Inc.

  dba Wound Healing Care Specialists California

  • Surgery Physician
  • Ontario, CA
  • NPI 1306317961
  Medicare reassignment NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1295927887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST, BOX #12",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2643",
            "fax_number": "310-222-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CARSON ST, BOX #12",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022004",
            "telephone_number": "310-222-2643",
            "fax_number": "310-222-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTELO",
        "first_name": "FERNANDO",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A108309",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W Annable, M.D.
• Anne Akemi Yamane Inc.
• Alina Anorga, LCSW
• Another Successful Venture Inc (Trusted In Home Care)
• Peggy Antelman, LCSW
• Anthony J Chen MD Inc
• Anthony Y Jong Professional
• Kariann Christine Anthony, MA, OTR/L
• Sabina Anthony, SLP-CCC
• Jared Antolin

• Surgery Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.