Individual provider Active NPI

Carlo P Honrado, M.D.

  • Facial Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1437265980
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A102560 Issued in CA
Practice address
2080 Century Park East
Suite 1701
Los Angeles, CA 90067
Phone
(310) 286-0043
Fax
(424) 206-4936
NPI assigned
Aug 21, 2006
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A102560 CA Primary

Addresses

Primary practice location

2080 Century Park East
Suite 1701
Los Angeles, CA 90067

Mailing address

2080 Century Park East
Suite 1701
Los Angeles, CA 90067
Phone (310) 286-0043

Other identifiers 1

IdentifierTypeStateIssuer
02578605MedicaidNY

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
I20090116000537 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 0749174209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2080 Century Park E
Suite 1701
Los Angeles, CA 90067-2020
Phone (310) 286-0043

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102560CAMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlo P. Honrado, M.D., Inc. CurrentSince Sep 1, 2013 Accepting new patients
ENT Faculty Practice LLP Past Accepting new patients
Wihd Inc Past Accepting new patients
Our Lady of Mercy Ambulatory Care Center, Inc. Past Accepting new patients
Our Lady of Mercy Medical Center Past Accepting new patients

Locations

2080 Century Park E
Ste 1700
Los Angeles, CA 90067
Phone (310) 201-0007

2080 Century Park E
Ste 1701
Los Angeles, CA 90067
Phone (310) 286-0043

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1437265980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-286-0043",
            "fax_number": "424-206-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK EAST",
            "address_2": "SUITE 1701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90067",
            "telephone_number": "310-286-0043",
            "fax_number": "424-206-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONRADO",
        "first_name": "CARLO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A102560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02578605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.