Individual provider Active NPI

Manuel Jose Pardo, MD

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1366699423
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A107711 Issued in CA
Practice address
9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709
Phone
(310) 550-1010
Fax
(310) 550-0650
NPI assigned
Aug 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A107711 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709

Mailing address

9201 W Sunset Blvd Ste 812
Los Angeles, CA 90069-3709
Phone (310) 550-1010

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
I20110510000145 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 1254517212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Martin Mills M D a Medical CorporationGroup PAC ID 1456404573, 12 clinicians

Practice addresses (Care Compare)

9201 W Sunset Blvd
Suite 812
West Hollywood, CA 90069-3709
Phone (310) 550-1010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107711CAMDClinical Social Worker
A107711CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Martin Mills M D a Medical Corporation CurrentSince Aug 1, 2017 Accepting new patients
University of California Irvine Past Accepting new patients
Prohealth Partners a Medical Group Inc Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

8601 S Broadway
Los Angeles, CA 90003
Phone (310) 550-1010

8280 Santa Monica Blvd
West Hollywood, CA 90046
Phone (310) 550-1010

9201 W Sunset Blvd
Ste 812
West Hollywood, CA 90069
Phone (310) 271-4656

Interoperability endpoints

  • Direct secure messaging: manuelpardo@scmmg.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1366699423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-550-1010",
            "fax_number": "310-550-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 812",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693709",
            "telephone_number": "310-550-1010",
            "fax_number": "310-550-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDO",
        "first_name": "MANUEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A107711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.