Individual provider Active NPI

David De la Loza, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1346326394
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G082210 Issued in CA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000869 CA Practitioner - Internal Medicine 7911070446 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G082210CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baart Community Healthcare CurrentSince Mar 12, 2021 Accepting new patients
Baart Community Healthcare CurrentSince Mar 12, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients
Los Angeles County Department of Public Health Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 1, 2007 Accepting new patients
Alt Recovery Group 2 LLC CurrentSince Jan 2, 2025 Accepting new patients
Baart Community Healthcare Current Accepting new patients
Ease in Hospice Care Inc PastSince Oct 6, 2023 Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Tincopa Medical Clinic PastSince Aug 1, 2020 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

  • Direct secure messaging: daviddelaloza-nppclinic@lacsapc.netsmartdirect.net
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Ease in Hospice Care IncGlendale, CA, CCN B41659 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.

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.

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

Verify at the official NPI Registry.