Individual provider Active NPI

Nathan Pierce

  • Otolaryngology Physician
  • Los Angeles, CA
National Provider Identifier
1538453634
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A143533 Issued in CA
Practice address
11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807
Phone
(310) 477-5558
Fax
(310) 477-7281
NPI assigned
Jun 6, 2011
Last updated
Apr 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A143533 CA Primary
Otolaryngology Physician 207Y00000X TRN16133 FL

Addresses

Primary practice location

11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807

Mailing address

11645 Wilshire Blvd Ste 600
Los Angeles, CA 90025-6807
Phone (310) 477-5558

Other practice location 1

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (847) 373-0107

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address npierce749852@oc.providencedirect.org
Direct Messaging Address npierce749852@oc.providencedirect.org
Direct Messaging Address npierce749852@oc.providencedirect.org

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
I20160908000779 CA Practitioner - Otolaryngology 5991947533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geoffrey Trenkle DO a Professional Medical CorporationGroup PAC ID 1759607310, 17 clinicians

Practice addresses (Care Compare)

433 N 4TH St
Suite 212
Montebello, CA 90640-4309
Phone (323) 593-7679

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143533CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Jul 1, 2018 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation Otolaryngology CurrentSince Dec 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Alta Los Angeles Hospital, Inc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Leon G. Partamian, M.D., Inc. PastSince Nov 1, 2017 Accepting new patients
Citrus Valley Medical Associates, Inc. PastSince Aug 2, 2021 Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Employee Medical Consultants PC PastSince Dec 1, 2022 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Michael R. Gatto MD, Inc. Otolaryngology PastSince Aug 1, 2007 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Alta Los Angeles Hospitals, Inc. Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

488 E Santa Clara St
Ste 202
Arcadia, CA 91006

1820 Fullerton Ave
Ste 115
Corona, CA 92881
Phone (951) 734-3233

1577 E Chevy Chase Dr
Ste 330
Glendale, CA 91206
Phone (818) 553-8013

14650 Aviation Blvd
Ste 100
Hawthorne, CA 90250
Phone (310) 725-8505

14650 Aviation Blvd
Ste 200
Hawthorne, CA 90250
Phone (310) 539-2300

3268 E Gage Ave
Huntington Pk, CA 90255
Phone (323) 238-3324

103 S Locust St
Inglewood, CA 90301
Phone (310) 412-3277

1045 Atlantic Ave
Ste 505
Long Beach, CA 90813
Phone (562) 437-0996

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

1300 N Vermont Ave
Ste 605
Los Angeles, CA 90027
Phone (213) 662-8194

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1700 E Cesar E Chavez Ave
Ste 2500
Los Angeles, CA 90033
Phone (323) 268-6731

3737 Martin Luther King Jr Blvd
Ste 403
Lynwood, CA 90262
Phone (310) 635-2223

433 N 4th St
Ste 212
Montebello, CA 90640
Phone (323) 238-3324

18546 Roscoe Blvd
Ste 200
Northridge, CA 91324
Phone (818) 993-1112

1180 N Indian Canyon Dr
Ste E311
Palm Springs, CA 92262
Phone (760) 320-4136

41250 12th St W
Ste C
Palmdale, CA 93551
Phone (323) 328-8059

800 Fairmount Ave
Ste 411
Pasadena, CA 91105

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2125 Arizona Ave
Santa Monica, CA 90404
Phone (310) 582-7450

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

11645 Wilshire Blvd
Ste 600
West Los Angeles, CA 90025
Phone (310) 477-5558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1538453634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256807",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "847-373-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A143533",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "TRN16133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npierce749852@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11645 Wilshire Blvd Ste 600",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900256807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npierce749852@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2125 Arizona Ave",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904041337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npierce749852@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12555 W Jefferson Blvd Ste 303",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900667032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.