Individual provider Active NPI

Joel Holtz, MD

  • Family Medicine Physician
  • San Pedro, CA
National Provider Identifier
1497735849
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G53572 Issued in CA
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

Updated by the provider on May 2, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820001071 CA Practitioner - Family Practice 7214061522 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53572CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 1, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 1, 2018 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.

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

Verify at the official NPI Registry.