Individual provider Active NPI

Ignacio De Artola Jr., M.D.

  • Family Medicine Physician
  • El Monte, CA
National Provider Identifier
1508887761
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51149 Issued in CA
Practice address
4368 Santa Anita Ave
El Monte, CA 91731-1606
Phone
(626) 579-2190
Fax
(626) 579-2397
NPI assigned
Jul 22, 2006
Last updated
Mar 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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 G51149 CA Primary

Addresses

Primary practice location

4368 Santa Anita Ave
El Monte, CA 91731-1606

Mailing address

4368 Santa Anita Ave
El Monte, CA 91731-1606
Phone (626) 579-2190

Other identifiers 1

IdentifierTypeStateIssuer
00G511490MedicaidCA

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
I20080108000405 CA Practitioner - Family Practice 6002874310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 S Glendora Ave
West Covina, CA 91790-3001
Phone 6269194333259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G51149CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Valley Community Health Center, Inc. CurrentSince May 12, 2020 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince May 12, 2020 Accepting new patients
Usc Family Medicine Inc. Family Medicine Past Accepting new patients

Locations

4368 Santa Anita Ave
El Monte, CA 91731
Phone (626) 579-0290

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ignacio.deartola.p1@direct.evchc.nextgenshare.com

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, 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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1508887761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311606",
            "telephone_number": "626-579-2190",
            "fax_number": "626-579-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311606",
            "telephone_number": "626-579-2190",
            "fax_number": "626-579-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ARTOLA",
        "first_name": "IGNACIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G511490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.