Organization Active NPI

Mosaic Family Care Medical Hospitalist Group Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1376378208
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOSAIC FAMILY CARE MEDICAL HOSPITALIST GROUP INC
Doing business as
Mosaic Family Care Medical Hospitalist Group Inc
Practice address
4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone
(323) 226-9042
Fax
(323) 226-9426
NPI assigned
Sep 2, 2024
Last updated
Sep 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Authorized official

Name
Dr. Juan Antonio Silva, MDNPI 1790738110
Title
Ceo
Phone
(323) 226-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4857 Huntington Dr N
Los Angeles, CA 90032-1939

Mailing address

4857 Huntington Dr N
Los Angeles, CA 90032-1939
Phone (323) 226-9042

Other names 1

  • Mosaic Family Care Medical Hospitalist Group Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241122002837 CA Part B Supplier - Clinic/Group Practice 4183159460 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725235200000",
    "number": "1376378208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 HUNTINGTON DR N",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321939",
            "telephone_number": "323-226-9042",
            "fax_number": "323-226-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC FAMILY CARE MEDICAL HOSPITALIST GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-226-9042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Family Care Medical Hospitalist Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.