Individual provider Active NPI

Clairose Retino, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1497172522
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A147497 Issued in CA
Practice address
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone
(323) 260-5800
NPI assigned
Mar 26, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A147497 CA Primary

Addresses

Primary practice location

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414

Mailing address

4802 10TH Avenue
Maimonides Medical Center
Brooklyn, NY 11219

Other practice location 1

4802 10th Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (718) 283-6000

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
I20170830003787 CA Practitioner - Emergency Medicine 2264705946 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMH Emergency Medical Group, Inc.Group PAC ID 7911800826, 56 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147497CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Exer Medical Corporation CurrentSince Sep 1, 2018 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Feb 27, 2018 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Victory Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Nov 1, 2017 Accepting new patients

Locations (25 of 38)

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

475 Foothill Blvd
La Canada, CA 91011
Phone (818) 528-6377

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

File 50670
Los Angeles, CA 90074

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

Organizations & group practices 9

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 1

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497172522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 10TH AVENUE",
            "address_2": "MAIMONIDES MEDICAL CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E CESAR E CHAVEZ AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332414",
            "telephone_number": "323-260-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Avenue",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "718-283-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETINO",
        "first_name": "CLAIROSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A147497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.