NPIMap

Individual provider Active NPI

Luiz Souza-Filho, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1548622749
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A155135 Issued in CA
Practice address
924 Westwood Blvd
UCLA Emergency Medicine, Suite 300
Los Angeles, CA 90024-2910
Phone
(310) 794-0585
NPI assigned
Mar 26, 2016
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A155135 CA Primary

Addresses

Primary practice location

924 Westwood Blvd
UCLA Emergency Medicine, Suite 300
Los Angeles, CA 90024-2910

Mailing address

924 Westwood Blvd
UCLA Emergency Medicine, Suite 300
Los Angeles, CA 90024-2910
Phone (310) 794-0585

Other names 1

  • Luiz Filho Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200924001617 CA Practitioner - Emergency Medicine 4486073491 Reassigns benefits to 1 organization
I20221006001997 WA Practitioner - Emergency Medicine 4486073491 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 Alder St
South Bend, WA 98586-4900
Phone (360) 875-4502

826 Alder St
South Bend, WA 98586-4900
Phone (360) 875-5526

PO Box
Suite 438
South Bend, WA 98586

PO Box
Suite 438
South Bend, WA 98586-0438

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155135CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific County Hospital District 2 CurrentSince Sep 6, 2022 Accepting new patients
Public Hospital District No 1 of Mason County Wa CurrentSince Dec 9, 2024 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 9, 2024 Accepting new patients
Burbank Emergency Medical Group Inc Emergency Medicine CurrentSince Oct 14, 2020 Accepting new patients
Public Hospital District No 1 of Mason County CurrentSince Dec 9, 2024 Accepting new patients
Pacific County Hospital District 2 CurrentSince Sep 6, 2022 Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

901 Mountain View Dr
Shelton, WA 98584
Phone (360) 426-1611

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1548622749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 WESTWOOD BLVD",
            "address_2": "UCLA EMERGENCY MEDICINE, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242910",
            "telephone_number": "310-794-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WESTWOOD BLVD",
            "address_2": "UCLA EMERGENCY MEDICINE, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900242910",
            "telephone_number": "310-794-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUZA-FILHO",
        "first_name": "LUIZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A155135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LUIZ",
            "last_name": "FILHO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.