Individual provider Active NPI

Leonard J Scuderi, M.D.

  • Cardiovascular Disease Physician
  • Torrance, CA
National Provider Identifier
1679590491
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G59477 Issued in CA
Practice address
23456 Hawthorne Blvd Ste 250
Torrance, CA 90505-4774
Phone
(310) 791-5577
Fax
(310) 791-5575
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G59477 CA Primary

Addresses

Primary practice location

23456 Hawthorne Blvd Ste 250
Torrance, CA 90505-4774

Mailing address

23456 Hawthorne Blvd Ste 250
Torrance, CA 90505-4774
Phone (310) 791-5577

Other identifiers 2

IdentifierTypeStateIssuer
WG59477AOtherCAMEDICARE PPIN
00G594770OtherCABLUE SHIELD

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
I20050505000403 CA Practitioner - Cardiovascular Disease (Cardiology) 2062452402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Utah School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 250
Torrance, CA 90505-4774
Phone (310) 791-5577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59477CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Jan 1, 2004 Accepting new patients
Cardiofit Medical Group Inc Cardiovascular Disease CurrentSince Aug 1, 1997 Accepting new patients
Torrance Memorial Medical Center CurrentSince Jan 1, 2004 Accepting new patients

Locations

300 E Yorba Linda Blvd
Ste B
Placentia, CA 92870
Phone (714) 749-4222

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

23441 Madison St
Ste 215
Torrance, CA 90505
Phone (310) 791-5577

23456 Hawthorne Blvd
Ste 250
Torrance, CA 90505
Phone (310) 791-5577

Interoperability endpoints

  • Direct secure messaging: cardiofitmedicalgroup@118638.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1679590491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054774",
            "telephone_number": "310-791-5577",
            "fax_number": "310-791-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 250",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054774",
            "telephone_number": "310-791-5577",
            "fax_number": "310-791-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCUDERI",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G59477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PPIN",
            "identifier": "WG59477A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G594770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.