Active NPI
Joel Holtz, MD
- Family Medicine Physician
- San Pedro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G53572
- Practice address
- 3118 S Anchovy Ave
San Pedro, CA 90732-4548 - Phone
- (310) 435-4626
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G53572 | CA | Primary |
Addresses
Primary practice location
3118 S Anchovy Ave
San Pedro, CA 90732-4548
Mailing address
1621 W 25TH St # 133
San Pedro, CA 90732-4301
Phone (310) 435-4626
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53572 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 101
Carson, CA 90745
Phone (310) 233-3202
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
29409 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 784-6848
601 Torrance Blvd
#1182
Redondo Beach, CA 90277
3500 Lomita Blvd
Ste 203
Torrance, CA 90505
Phone (310) 326-0210
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1497735849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 W 25TH ST # 133",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907324301",
"telephone_number": "310-435-4626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 S ANCHOVY AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907324548",
"telephone_number": "310-435-4626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZ",
"first_name": "JOEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.