Active NPI
David De la Loza, MD
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G082210
- Practice address
- 942 S Atlantic Blvd
Los Angeles, CA 90022 - Phone
- (323) 263-9700
- Fax
- (323) 263-8042
- NPI assigned
- Oct 31, 2006
- Last updated
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G082210 | CA | Primary |
Addresses
Primary practice location
942 S Atlantic Blvd
Los Angeles, CA 90022
Mailing address
922 S Atlantic Blvd
Los Angeles, CA 90022-4004
Phone (323) 500-1099
Other practice location 1
922 S Atlantic Blvd
Los Angeles, CA 90022-4004
Phone (323) 500-1099
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G082210 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baart Community Healthcare | Current | Accepting new patients | |
| Baart Community Healthcare | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Alt Recovery Group 2 LLC | Current | Accepting new patients | |
| Baart Community Healthcare | Current | Accepting new patients | |
| Ease in Hospice Care Inc | Past | Accepting new patients | |
| Community Hospital of San Bernardino | Past | Accepting new patients | |
| Tincopa Medical Clinic | Past | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
3932 Long Beach Blvd
#B
Long Beach, CA 90807
Phone (562) 321-6800
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140
3800 E 1st St
Los Angeles, CA 90063
Phone (323) 261-7520
2601 Via Campo
Montebello, CA 90640
Phone (323) 720-1144
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- daviddelaloza-nppclinic@lacsapc.netsmartdirect.net
- daviddelaloza@lacsapc.netsmartdirect.net
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ease in Hospice Care Inc | Hospice | Contracted Managing Employee (100%) | Oct 6, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Glendale, CA
- NPI 1447855218
Contracted Managing Employee
Organizations & group practices 11
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.
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1497127328
-
- Methadone Clinic
- Chatsworth, CA
- NPI 1780198085
-
- Clinic/Center
- Lynwood, CA
- NPI 1215368956
-
- Community Health Clinic/Center
- San Francisco, CA
- NPI 1982781159
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
dba BAART Programs Durham
- Substance Use Disorder Rehabilitation Clinic/Center
- Durham, NC
- NPI 1376075556
-
dba Community Convalescent Center of San Bernardino
- Pediatric Skilled Nursing Facility
- San Bernardino, CA
- NPI 1851395685
-
- Home Health Agency
- Glendale, CA
- NPI 1447855218
-
- Family Medicine Physician
- Whittier, CA
- NPI 1982032520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1346326394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "922 S ATLANTIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900224004",
"telephone_number": "323-500-1099",
"fax_number": "323-825-4644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 S ATLANTIC BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90022",
"telephone_number": "323-263-9700",
"fax_number": "323-263-8042"
}
],
"practiceLocations": [
{
"address_1": "922 S Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900224004",
"country_code": "US",
"telephone_number": "323-500-1099",
"fax_number": "323-825-4644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LA LOZA",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G082210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.