Individual provider Active NPI

Michael Gitter, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1487712865
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G20658 Issued in CA
Practice address
1762 Westwood BVLD #300
Los Angeles, CA 90024
Phone
(310) 441-2000
Fax
(310) 441-2020
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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 G20658 CA Primary

Addresses

Primary practice location

1762 Westwood BVLD #300
Los Angeles, CA 90024

Mailing address

PO Box 27206
Los Angeles, CA 90027-0206
Phone (213) 385-0675

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
I20050706000710 CA Practitioner - Family PracticePractitioner - General Practice 0941246409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Wound Care SolutionsGroup PAC ID 8123541463, 4 clinicians

Practice addresses (Care Compare)

16415 S Colorado Ave
Suite 410
Paramount, CA 90723-5084
Phone (562) 316-0200

23043 Lyons Ave
Santa Clarita, CA 91321-2719
Phone (661) 288-0022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G20658CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Wound Care Solutions CurrentSince Jul 1, 2025 Accepting new patients
Unruh Medical Inc CurrentSince Jan 31, 2022 Accepting new patients
Lina Suchov a Professional Psychology Corporation Past Accepting new patients
Clinica Monsignor Oscar a Romero Past Accepting new patients
Tracy D. Charles M.D. Inc Past Accepting new patients
Clinica Monsignor Oscar a Romero Past Accepting new patients

Locations

16415 Colorado Ave
Ste 410
Paramount, CA 90723
Phone (562) 316-0200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mgitter277846@direct.ochin.org

Organizations & group practices 6

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1487712865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270206",
            "telephone_number": "213-385-0675",
            "fax_number": "213-365-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 WESTWOOD BVLD #300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024",
            "telephone_number": "310-441-2000",
            "fax_number": "310-441-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITTER",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G20658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.