Organization Active NPI

Healthcare Partners Affiliates Medical Group

Doing business as Optum

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1659312593
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0890079Healthcare Partners Affilicates Medical Group1120 W Washington Boulevard, Los Angeles, CA 90015Provider-performed microscopyAug 10, 2026

National Provider Directory

National Provider Directory

Locations (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 MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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.

View all 2,503

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

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.

Verify at the official NPI Registry.