Renato Sousa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E5667 Issued in CA

Practice address

1701 E Cesar E Chavez Ave Ste 510
Los Angeles, CA 90033-2488

Phone

(323) 987-1362

Fax

(833) 941-2014

NPI assigned

Jun 6, 2017

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stanley K Mathis DPM IncGroup PAC ID 7416284138, 7 clinicians

White Memorial Medical Group IncGroup PAC ID 9436042967, 12 clinicians

White Memorial Medical CenterGroup PAC ID 4486622362, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cardinal Home Health Care Home health agency, Ontario, CA, CCN 059021
• Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Merit-based Incentive Payment System (MIPS)

Final score

90.02 of 100Reported as group

Quality

69.82

Promoting interoperability

95

Improvement activities

40

Cost

67.76

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: renalto.sousa.p1@direct.ccchcenter.nextgenshare.com
• Direct secure messaging: renato.sousa.1@27758.direct.athenahealth.com
• Direct secure messaging: rsousa41793@altamed.direct-ci.com

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.

• White Memorial Medical Group, Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1689769374

  Podiatrist

  Medicare reassignment Care Compare group NPD
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Medicare reassignment Care Compare group
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment NPD
• Renato Sousa DPM Inc

  • Podiatric Clinic/Center
  • Arcadia, CA
  • NPI 1073335501
  NPD Authorized official
• Stanley K Mathis DPM Inc

  • Podiatrist
  • San Clemente, CA
  • NPI 1649737651
  Care Compare group
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New Life Venture Corp

  dba Cardinal Home Health Care

  • Home Health Agency
  • Ontario, CA
  • NPI 1518042407
  Care Compare affiliation
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1679002455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332488",
            "telephone_number": "323-987-1362",
            "fax_number": "833-941-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332488",
            "telephone_number": "323-987-1362",
            "fax_number": "833-941-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "RENATO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Souroujon
• Soheyla Soury, RPH
• Sous Le Parapluie, LLC
• Nagi N. Sous, MD
• Emily Priscilla Sousa, PHD, PPCNP-BC, MPH
• South Atlantic Medical Group
• South Atlantic Medical Group Ipa
• South Atlantic Medical Group, Inc
• South Bay Senior Services Inc (Homewatch Caregivers of West LA and South Bay)
• South Bay Senior Services, Inc (Better Living In-Home Care)

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.