NPIMap

Individual provider Active NPI

Loraine Diego, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1386689453
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A67445 Issued in CA
Practice address
2405 W 8TH St
Suite #105
Los Angeles, CA 90057-5016
Phone
(213) 388-2229
Fax
(213) 388-1507
NPI assigned
Jun 20, 2006
Last updated
Mar 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A67445 CA Primary

Addresses

Primary practice location

2405 W 8TH St
Suite #105
Los Angeles, CA 90057-5016

Mailing address

2405 W 8TH St
Suite #105
Los Angeles, CA 90057-5016
Phone (213) 388-2229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000735 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Obstetrics/Gynecology 5395832984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New World Multispecialty Medical Group IncGroup PAC ID 0446347017, 3 clinicians

Practice addresses (Care Compare)

1711 W Temple St
Suite 7643
Los Angeles, CA 90026-5421
Phone (213) 388-2229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67445CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Vital Health Medical Group, Inc. PastSince Feb 1, 2020 Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

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
Angels Nursing Health CenterLos Angeles, CA, CCN 055704 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2011
Jan 1, 2011

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 7

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1386689453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 W 8TH ST",
            "address_2": "SUITE #105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575016",
            "telephone_number": "213-388-2229",
            "fax_number": "213-388-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 W 8TH ST",
            "address_2": "SUITE #105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900575016",
            "telephone_number": "213-388-2229",
            "fax_number": "213-388-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGO",
        "first_name": "LORAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A67445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.