Individual provider Active NPI

Maria Teresa Swida, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1417907452
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6314 Issued in CA
Practice address
2750 W Broadway
Los Angeles, CA 90041-1050
Phone
(323) 550-8346
Fax
(323) 550-8366
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6314 CA Primary

Addresses

Primary practice location

2750 W Broadway
Los Angeles, CA 90041-1050

Mailing address

PO Box 2425
Pasadena, CA 91102-2425
Phone (323) 550-8346

Other identifiers 1

IdentifierTypeStateIssuer
GR0059750MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031112000265 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Pediatric MedicinePractitioner - Preventive Medicine 9638082936 Practice locations: La Canada Flintridge, CA
O20240717004054 CA DME Supplier - Physician - Osteopathic Manipulative Medicine 5799220471 Practice locations: La Canada Flintridge, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice, Internal Medicine, Osteopathic Manipulative Medicine, Pediatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Foothill Blvd
Suite C
La Canada Flintridge, CA 91011-3207
Phone (818) 952-4963

Hospital & facility affiliations

  • New Horizon Home Health Care Home health agency, Glendale, CA, CCN 058139
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6314CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Primary Care Past Accepting new patients
Garo Karakashian, M.D, Inc. Past Accepting new patients
Stockdale Chiropractic Clinic, Inc Past Accepting new patients
Elizabeth Swida-Skillen DC a Chiropractic Corporation Past Accepting new patients
Elizabeth Swida Skillen, DC, a Chiropractic Corp. Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1417907452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2425",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911022425",
            "telephone_number": "323-550-8346",
            "fax_number": "323-550-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411050",
            "telephone_number": "323-550-8346",
            "fax_number": "323-550-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIDA",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0059750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.