Paul Fortaleza, D.O.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

20A6703 Issued in CA

Practice address

6350 Laurel Canyon Blvd Ste 205
North Hollywood, CA 91606-3278

Phone

(818) 325-2090

NPI assigned

Apr 24, 2007

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Family Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Osher Resources IncGroup PAC ID 3072832609, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• La Wellness Health Care, Inc Home health agency, North Hollywood, CA, CCN 059751
• City of Angels Best Care, Inc Home health agency, Los Angeles, CA, CCN 058463
• Hillcrest Home Health Inc Home health agency, Van Nuys, CA, CCN 757406
• Mma Home Health Care, Inc Home health agency, Burbank, CA, CCN 559039
• Care Partner Home Health, Inc Home health agency, Van Nuys, CA, CCN 559491

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Continuum Health Medical Group LLC

  • Family Medicine Physician
  • Lakewood, CA
  • NPI 1811843501
  Medicare reassignment NPD Authorized official
• Osher Resources Inc

  dba Act Medical Group Inc

  • Family Health Clinical Nurse Specialist
  • North Hollywood, CA
  • NPI 1700282654
  Medicare reassignment Care Compare group NPD
• B & D Hospice Services

  dba Triunion Healthcare

  • Community Based Hospice Care Agency
  • North Hollywood, CA
  • NPI 1225321631

  Geriatric Medicine

  Medicare reassignment NPD
• County of Los Angeles

  dba County of Los Angeles Harbor UCLA Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• Department of Veterans Affairs of the State of California

  dba Veterans Home of California - Redding

  • Skilled Nursing Facility
  • Redding, CA
  • NPI 1396165353
  Medicare reassignment NPD
• Veterans Home of California Barstow

  • Skilled Nursing Facility
  • Barstow, CA
  • NPI 1205821758
  Medicare reassignment NPD
• A Life Care Hospice Inc.

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
  • NPI 1992325039

  Geriatric Medicine

  NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD
• County of Los Angeles

  dba San Fernando Health Center

  • Clinic/Center
  • San Fernando, CA
  • NPI 1316953532
  NPD
• Department of Veterans Affairs of the State of California

  dba Veterans Home of California - West Los Angeles

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1821316076
  NPD
• Jagvinder Singh Medical Corp

  dba Sabella Medical Group & Urgent Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Pasadena, CA
  • NPI 1184942609
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Care Partner Home Health, Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1477185650
  Care Compare affiliation
• City of Angels Best Care, Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1811028830
  Care Compare affiliation
• Hillcrest Home Health Inc

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1124790696
  Care Compare affiliation
• La Wellness Health Care, Inc.

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1295019669
  Care Compare affiliation
• Mma Home Health Care Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1063926830
  Care Compare affiliation

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1336368190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063278",
            "telephone_number": "818-325-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LAUREL CANYON BLVD STE 205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063278",
            "telephone_number": "818-325-2090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Laurel Canyon Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916063273",
            "country_code": "US",
            "telephone_number": "818-325-2090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Rainbow Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891071061",
            "country_code": "US",
            "telephone_number": "702-659-7779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTALEZA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A6703",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "DO2271",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A6703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Wound Care Center
• Enoch Lawrence Ford
• Forever Heavenly Hospice Inc
• Forever in Peace Hospice Care Inc
• Ariel Marie Forman, PT, DPT
• Cecilia Marie Foster, B.A
• Four Life Hospice Care, Inc.
• Four M Medical Mart a Medical Corporation (San Miguel Occupational & Urgent Care Medical Group Inc)
• Four Rivers Management Corporation (Golden State Colonial Healthcare Center)
• Four Seasons Assisted Living Center LLC

• Geriatric Medicine (Family Medicine) Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.