Active NPI
Healthcare Partners Affiliates Medical Group
Doing business as Optum
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
- Doing business as
- Optum
- Practice address
- 1120 W Washington Blvd
Los Angeles, CA 90015-3316 - Phone
- (213) 623-2225
- NPI assigned
- Jun 10, 2006
- Last updated
- Dec 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- A Favors
- Title
- Manager
- Phone
- (623) 341-3964
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | BU20504720 | CA | |
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | NU | ||
| Allergy & Immunology Physician | 207K00000X | NU | ||
| Anesthesiology Physician | 207L00000X | NU | ||
| Dermatology Physician | 207N00000X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Adult Medicine Physician | 207QA0505X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Cardiovascular Disease Physician | 207RC0000X | NU | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | NU | ||
| Nuclear Medicine Physician | 207U00000X | NU | ||
| Gynecology Physician | 207VG0400X | NU | ||
| Maternal & Fetal Medicine Physician | 207VM0101X | NU | ||
| Ophthalmology Physician | 207W00000X | NU | ||
| Otolaryngology Physician | 207Y00000X | NU |
Addresses
Primary practice location
1120 W Washington Blvd
Los Angeles, CA 90015-3316
Mailing address
19191 S Vermont Ave FL 7
Torrance, CA 90502-1018
Phone (623) 341-3964
Other names 1
- Optum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204001258 | CA | Part B Supplier - Clinic/Group Practice | 7315842002 |
Receives reassigned benefits from 2,253 practitioners 1 other NPI on this enrollment |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Optum
- Addiction Medicine (Internal Medicine) Physician
- Tustin, CA
- NPI 1891981502
O20031204001258
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0890079 | Healthcare Partners Affilicates Medical Group | Provider-performed microscopy | Aug 10, 2026 |
National Provider Directory
National Provider DirectoryLocations (25 of 26)
6109 W Ramsey St
Banning, CA 92220
Phone (909) 845-0313
81 Highland Springs Ave
Ste 101
Beaumont, CA 92223
168 W Carson St
Carson, CA 90745
Phone (310) 233-3202
315 N 3rd Ave
Ste 103
Covina, CA 91723
Phone (626) 859-2249
10601 Walker St
Ste 250
Cypress, CA 90630
Phone (562) 493-2266
17071 Springdale St
Huntington Beach, CA 92649
Phone (714) 377-9333
3833 Emerald Ave
La Verne, CA 91750
Phone (626) 331-6411
16800 Lakeshore Dr
Ste 2
Lake Elsinore, CA 92530
Phone (909) 605-8000
4401 Atlantic Ave
Ste 300
Long Beach, CA 90807
Phone (562) 481-3500
4910 Airport Plaza Dr
Ste 100
Long Beach, CA 90815
Phone (562) 429-2473
3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599
1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225
11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097
2603 Via Campo
Montebello, CA 90640
Phone (323) 720-1144
14114 Business Center Dr
Ste E
Moreno Valley, CA 92553
Phone (951) 656-3303
1100 N Palm Canyon Dr
Ste 202
Palm Springs, CA 92262
Phone (760) 318-0067
50 Bellefontaine St
Ste 104
Pasadena, CA 91105
Phone (626) 304-6300
50 Bellefontaine St
Ste 305
Pasadena, CA 91105
Phone (626) 795-0415
988 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 582-7980
1600 E Citrus Ave
Ste A
Redlands, CA 92374
Phone (909) 294-3682
245 Terracina Blvd
Ste 102
Redlands, CA 92373
Phone (909) 406-2671
207 S Santa Anita St
Ste 205
San Gabriel, CA 91776
Phone (626) 576-0800
2304 Zanker Rd
San Jose, CA 95131
Phone (408) 937-3600
900 N Western Ave
San Pedro, CA 90732
Phone (310) 832-4225
19191 S Vermont Ave
Fl 7
Torrance, CA 90502
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 2,503
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Mission Hills, CA
- NPI 1417453945
-
- Sports Medicine (Family Medicine) Physician
- Huntington Beach, CA
- NPI 1043228224
-
- Obstetrics & Gynecology Physician
- Pasadena, CA
- NPI 1538796669
-
- Family Medicine Physician
- Arcadia, CA
- NPI 1437786043
-
- Family Nurse Practitioner
- El Segundo, CA
- NPI 1558019430
-
- Internal Medicine Physician
- Downey, CA
- NPI 1639638463
-
- Internal Medicine Physician
- Montebello, CA
- NPI 1427077411
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1306267026
-
- Student in an Organized Health Care Education/Training Program
- Mission Hills, CA
- NPI 1730821497
Family Medicine
-
- Family Medicine Physician
- Fullerton, CA
- NPI 1528062106
-
- Gastroenterology Physician
- Laguna Hills, CA
- NPI 1063616217
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1891711065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766102400000",
"number": "1659312593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19191 S VERMONT AVE FL 7",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021018",
"telephone_number": "623-341-3964",
"fax_number": "310-783-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W WASHINGTON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153316",
"telephone_number": "213-623-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A",
"authorized_official_last_name": "FAVORS",
"authorized_official_first_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "623-341-3964"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "BU20504720",
"primary": false
},
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optum",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
- Health Partners & Assosiates, Inc
- Health Research Association Inc
- Health Within Inc
- Healthcare Medical Management Services, Inc.
- Healthcare Medical Services & Enterprises
- Healthcare Partners Medical Group, P.C.
- Healthcheck PMC
- Healthcheck Systems, Inc.
- Healthhaus LLC (FulHaus)
- Healthier Minds, Inc. a Professional Psychological Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.