Individual provider Active NPI

Gary Mark Satou, MD

  • Pediatric Cardiology Physician
  • Los Angeles, CA
National Provider Identifier
1568463537
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
G8095 Issued in CA
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095
Phone
(310) 825-5296
Fax
(310) 825-9524
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 213923 NY
Pediatric Cardiology Physician 2080P0202X G8095 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Los Angeles, CA 90095

Mailing address

10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 825-5296

Other identifiers 2

IdentifierTypeStateIssuer
001405267MedicaidCT
01981066MedicaidNY

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
I20070621000332 CA Practitioner - Pediatric Medicine 6305814666 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8095CAMDPediatric Cardiology Physician
213923NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Pediatric Cardiology CurrentSince Jul 1, 2007 Accepting new patients
County of Los Angeles CurrentSince Sep 20, 2007 Accepting new patients
County of Los Angeles CurrentSince Sep 20, 2007 Accepting new patients
Danbury Hospital Past Accepting new patients
UCLA Medical Group Past Accepting new patients
Ridgecrest Regional Hospital Past Accepting new patients
Boston Children'S Health Physicians, LLP Pediatric Cardiology Past Accepting new patients
St Francis Hospital - Poughkeepsie Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

10833 Le Conte Ave
Los Angeles, CA 90095
Phone (310) 301-8932

10833 Le Conte Ave
#12311
Los Angeles, CA 90095
Phone (310) 825-9124

200 UCLA Medical Plz
Ste 330
Los Angeles, CA 90095
Phone (310) 267-7667

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

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

1260 15th St
Ste 1024
Santa Monica, CA 90404
Phone (424) 259-8570

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gsatou48569@direct.uclahealth.org

Organizations & group practices 10

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1568463537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-825-5296",
            "fax_number": "310-825-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-825-5296",
            "fax_number": "310-825-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATOU",
        "first_name": "GARY",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "213923",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G8095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001405267",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.