Individual provider Active NPI

Daniel Alberto Deugarte, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1497971790
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301084844 Issued in MI
Practice address
10833 Le Conte Ave
Suite 526
Los Angeles, CA 90095-3075
Phone
(310) 206-2429
Fax
(310) 206-1120
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X A70300 CA
Surgery Physician 208600000X 4301084844 MI Primary

Addresses

Primary practice location

10833 Le Conte Ave
Suite 526
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 206-2429

Other identifiers 1

IdentifierTypeStateIssuer
00A703000MedicaidCA

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
I20070829000711 CA Practitioner - General SurgeryPractitioner - Pediatric Medicine 7517050057 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301084844MIMDSurgery Physician
A70300CAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Pediatric Surgery CurrentSince Jul 1, 2007 Accepting new patients
County of Los Angeles CurrentSince May 1, 2008 Accepting new patients
County of Los Angeles CurrentSince May 1, 2008 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Surgery Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

200 UCLA Medical Plz
Ste 526
Los Angeles, CA 90095
Phone (310) 206-6294

10833 Le Conte Ave
Ste 526
Los Angeles, CA 90095
Phone (310) 206-2429

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

200 UCLA Medical Plz
Ste 265
Los Angeles, CA 90095
Phone (310) 206-2429

File 54206
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

23550 Hawthorne Blvd
Ste 180
Torrance, CA 90505
Phone (310) 373-4303

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

4201 Torrance Blvd
Ste 660
Torrance, CA 90503
Phone (310) 206-2449

Interoperability endpoints

  • Direct secure messaging: ddeugarte60584@direct.uclahealth.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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1497971790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-206-2429",
            "fax_number": "310-206-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "address_2": "SUITE 526",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-206-2429",
            "fax_number": "310-206-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUGARTE",
        "first_name": "DANIEL",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A70300",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301084844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A703000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.