Active NPI
Atul Madan, MD
- Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C53803
- Practice address
- 1310 W Stewart Dr Ste 310
Orange, CA 92868-3838 - Phone
- (562) 270-5411
- Fax
- (424) 248-0985
- NPI assigned
- Apr 21, 2006
- Last updated
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C53803 | CA | Primary |
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | C53803 | CA | |
| Physician Nutrition Specialist (Surgery) | 2086P0122X | C53803 | CA |
Addresses
Primary practice location
1310 W Stewart Dr Ste 310
Orange, CA 92868-3838
Mailing address
10573 W Pico Blvd # 859
Los Angeles, CA 90064-2333
Phone (310) 869-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3876107 | Medicaid | TN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Pennsylvania, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10540 W Olympic Blvd
Los Angeles, CA 90064-2316
Phone (213) 973-2263
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C53803 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atul K Madan MD a Medical Corporation | Surgery | Current | Accepting new patients |
| Fatehchehr, Madan, Neoman Medical Practice, Inc. | Surgery | Current | Accepting new patients |
Locations
2250 S Main St
Ste 201
Corona, CA 92882
Phone (951) 621-3232
10573 W Pico Blvd
Los Angeles, CA 90064
Phone (310) 383-0920
Interoperability endpoints
- amadan392717@direct.memorialcare.org
Organizations & group practices 2
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.
-
- Surgery Physician
- Costa Mesa, CA
- NPI 1053689679
-
- Surgery Physician
- Long Beach, CA
- NPI 1902797715
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1588620363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10573 W PICO BLVD # 859",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642333",
"telephone_number": "310-869-7776",
"fax_number": "866-933-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 310",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683838",
"telephone_number": "562-270-5411",
"fax_number": "424-248-0985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADAN",
"first_name": "ATUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C53803",
"primary": true
},
{
"code": "2083B0002X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Obesity Medicine",
"state": "CA",
"license": "C53803",
"primary": false
},
{
"code": "2086P0122X",
"taxonomy_group": "",
"desc": "Surgery, Physician Nutrition Specialist",
"state": "CA",
"license": "C53803",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3876107",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.