Individual provider Active NPI

Eddy Ang, MD, MPH

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1508158197
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150218 Issued in CA
Practice address
8627 Atlantic Ave
South Gate, CA 90280
Phone
(888) 499-9303
Fax
(323) 312-2985
NPI assigned
May 13, 2011
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 150218 CA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 150218 CA

Addresses

Primary practice location

8627 Atlantic Ave
South Gate, CA 90280

Mailing address

8627 Atlantic Ave
South Gate, CA 90280-3501
Phone (888) 499-9303

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 874-5377

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
I20191008000716 CA Practitioner - Family Practice 5092947580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150218CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Nov 1, 2019 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
The Regents of the University of California CurrentSince Nov 1, 2019 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Nov 1, 2019 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700

26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321

6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

355 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

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

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

2424 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 828-4530

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

23861 McBean Pkwy
Ste E24
Valencia, CA 91355
Phone (661) 259-8252

6344 Topanga Canyon Blvd
Ste 2130
Woodland Hills, CA 91367

Interoperability endpoints

  • Direct secure messaging: eang751152@direct.uclahealth.org

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1508158197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 ATLANTIC AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902803501",
            "telephone_number": "888-499-9303",
            "fax_number": "233-122-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 ATLANTIC AVE",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "90280",
            "telephone_number": "888-499-9303",
            "fax_number": "323-312-2985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-874-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANG",
        "first_name": "EDDY",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-13",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "150218",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "150218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

Verify at the official NPI Registry.